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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Painful ulcers on the genitals are not characteristic of genital warts. Genital warts typically present as soft growths or small, flesh-colored, cauliflower-like bumps.
Choice B rationale:
Yellow-green vaginal discharge is not a symptom of genital warts. This type of discharge may indicate other infections such as trichomoniasis or bacterial vaginosis.
Choice C rationale:
Recurrent episodes of vesicles are characteristic of genital warts caused by the herpes simplex virus (HSV) These vesicles are often painful and may break open to form ulcers before healing.
Choice D rationale:
Painful growths on the genitals are not a common symptom of genital warts. While genital warts can cause discomfort, they are usually not described as painful growths.
Correct Answer is A
Explanation
Choice A rationale:
Penicillin G is the primary and most effective treatment for syphilis, demonstrating the patient's understanding of the recommended treatment.
Choice B rationale:
Avoiding treatment if allergic to penicillin is not advisable. Alternative treatments are available for patients with penicillin allergies.
Choice C rationale:
Informing sexual partners about the diagnosis is crucial to prevent transmission and is an essential part of the treatment plan.
Choice D rationale:
Regular follow-up testing is necessary to monitor treatment efficacy and ensure complete resolution of the infection.
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