A nurse is conducting a teaching session on prevention strategies for sexually transmitted infections (STIs).
Select all the apply:
"Using barrier methods like condoms consistently and correctly during sexual intercourse.”
"Having a monogamous sexual relationship with a partner who is known to be free of STIs.”
"Engaging in sexual activity without any form of contraception to prevent STIs.”
"Getting regular STI screenings if you have multiple sexual partners.”
"Sharing needles or drug paraphernalia with others to prevent STIs.”
Correct Answer : A,B,D
Choice A rationale:
Using barrier methods like condoms consistently and correctly during sexual intercourse is an effective prevention strategy for STIs.
Condoms create a barrier that can prevent the exchange of bodily fluids, reducing the risk of infection.
Choice B rationale:
Having a monogamous sexual relationship with a partner who is known to be free of STIs is a preventive measure.
Monogamy with an uninfected partner can reduce the risk of exposure to STIs, but it is essential to ensure both partners are free of STIs through testing.
Choice C rationale:
Engaging in sexual activity without any form of contraception to prevent STIs is not a recommended strategy.
This increases the risk of STI transmission.
The correct approach is to use barrier methods like condoms or other forms of contraception to reduce the risk.
Choice D rationale:
Getting regular STI screenings if you have multiple sexual partners is a crucial preventive measure.
It allows for early detection and treatment of STIs, reducing their spread.
Regular screenings are especially important for individuals with multiple sexual partners or those at higher risk of STIs.
Choice E rationale:
Sharing needles or drug paraphernalia with others is a high-risk behavior that can lead to the transmission of bloodborne infections, including HIV and hepatitis C.
It is not a strategy to prevent STIs; instead, it increases the risk of infection.
Sharing needles should always be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Ask about the number of sexual partners.
Assessing the number of sexual partners is an important nursing assessment related to STIs.
A higher number of sexual partners increases the risk of exposure to STIs.
Understanding this information allows the nurse to provide appropriate education on safe sex practices and the importance of regular STI screenings.
Choice B rationale:
Inquire about condom use during sexual activity.
Inquiring about condom use is crucial when discussing STIs because consistent and correct condom use can significantly reduce the risk of transmission.
Understanding a client's condom use practices provides insight into their level of protection against STIs and can guide the nurse in providing education on safer sex practices.
Choice D rationale:
Perform a physical examination of the genital area.
A physical examination of the genital area is essential for assessing and diagnosing STIs.
Some STIs may present with visible symptoms or lesions in the genital area, and a physical examination helps in identifying these signs.
It also allows for the assessment of any painless sores or unusual skin changes that may indicate an STI.
Choice E rationale:
Assess for swollen lymph nodes in the neck.
Swollen lymph nodes in the neck can be an indicator of certain STIs, particularly syphilis.
Lymphadenopathy is one of the clinical manifestations of syphilis, and assessing for swollen lymph nodes is part of a comprehensive STI assessment.
It can help identify possible systemic involvement of the infection.
Choice C rationale:
Check for the presence of a painless sore at the site of infection.
While the presence of a painless sore is important in diagnosing syphilis, this choice alone is not sufficient as a nursing assessment.
A comprehensive assessment should include inquiries about sexual partners, condom use, and physical examinations, as STIs can manifest in various ways beyond just painless sores.
Correct Answer is C
Explanation
Choice A rationale:
"I've noticed increased vaginal discharge recently." This statement does suggest a change in vaginal discharge, which can be a symptom of some STIs.
However, it is not specific enough to confirm the suspicion of an STI, as increased vaginal discharge can also occur due to non-STI related causes such as hormonal changes, yeast infections, or bacterial vaginosis.
Choice B rationale:
"I've had a painless sore at the site of infection." A painless sore at the site of infection is a classic symptom of syphilis, a sexually transmitted infection.
However, this choice does not provide information about vaginal discharge or painful blisters, which are more characteristic of other STIs like herpes.
Therefore, this statement alone does not support the suspicion of an STI in this particular case.
Choice C rationale:
"I have periodic reactivation of painful blisters in my genital area." This statement strongly supports the suspicion of an STI, specifically herpes.
Herpes is known for causing painful blisters that can periodically reactivate in the genital area.
This symptom is highly indicative of a sexually transmitted infection.
Choice D rationale:
"I've developed a rash and flu-like symptoms." While a rash and flu-like symptoms can be associated with some STIs, such as early HIV infection, these symptoms are non-specific and can occur due to various other illnesses as well.
Without more specific information related to genital symptoms or exposures, this statement alone does not strongly support the suspicion of an STI.
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