A nurse is assessing a client who reports recurrent episodes of painful vesicles or ulcers on the genitals, anus, or mouth. The client also mentions tingling, burning, or itching before the outbreak. Which of the following STIs is the client likely experiencing? Select all that apply.
Chlamydia.
Gonorrhea.
Syphilis.
Genital herpes.
Genital warts.
Correct Answer : D,E
Choice A rationale:
Chlamydia does not typically present with painful vesicles or ulcers; it usually causes genital discharge and discomfort during urination.
Choice B rationale:
Gonorrhea does not commonly cause painful vesicles or ulcers; it primarily leads to genital discharge and discomfort during urination.
Choice C rationale:
Syphilis can cause ulcers (chancre) but is not typically associated with recurrent vesicles, tingling, or itching. It goes through different stages.
Choice D rationale:
This is the correct choice. Genital herpes commonly presents with painful vesicles or ulcers on the genitals, anus, or mouth, along with tingling, burning, or itching before the outbreak.
Choice E rationale:
This is the correct choice. Genital warts, caused by human papillomavirus (HPV), can lead to the development of warts on the genitalia and surrounding areas.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Classic IM is not more common in older adults aged 50 and above. It primarily affects adolescents and young adults.
Choice B rationale:
Classic IM does exhibit a seasonal variation, with higher incidence rates during the summer. This is believed to be related to increased social interactions and close contact during warm months.
Choice C rationale:
Classic IM does not have a low risk of malignancy associated with EBV infection. EBV is linked to certain malignancies, such as Burkitt's lymphoma and nasopharyngeal carcinoma.
Choice D rationale:
Classic IM does not have a higher incidence in developing countries. It is a widespread infection seen across various regions, including developed and developing countries.
Correct Answer is B
Explanation
Choice A rationale:
Blood culture is not the preferred diagnostic method for confirming genital herpes. Herpes simplex virus is best detected through methods that target viral DNA or RNA, such as NAAT.
Choice B rationale:
Nucleic acid amplification test (NAAT) using urine is an appropriate diagnostic method for confirming genital herpes. This test detects the genetic material of the herpes virus and is commonly used for accurate diagnosis.
Choice C rationale:
Wet mount microscopy using vaginal discharge is used to diagnose conditions such as bacterial vaginosis and yeast infections, but it is not the primary method for diagnosing genital herpes.
Choice D rationale:
Serologic testing using a blood sample can detect antibodies to herpes, indicating past exposure or infection. However, it may not be as accurate for confirming an active genital herpes outbreak as NAAT.
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