A nurse is explaining the pathophysiology of gonorrhea to a client.
Which statement accurately describes the infection process of Neisseria gonorrhoeae?
"The bacterium primarily infects the skin and causes superficial lesions.”
"Gonorrhea spreads to other parts of the body through the lymphatic system.”
"Neisseria gonorrhoeae enters the body through sexual contact and binds to host cells.”
"It causes infection by releasing toxins into the bloodstream.”
The Correct Answer is C
"Neisseria gonorrhoeae enters the body through sexual contact and binds to host cells."
Choice A rationale:
Gonorrhea primarily infects mucous membranes, such as those found in the genital and rectal areas.
It does not primarily infect the skin and does not cause superficial lesions.
Therefore, choice A is not an accurate description of the infection process of Neisseria gonorrhoeae.
Choice B rationale:
While gonorrhea can spread to other parts of the body in rare cases, the primary mode of transmission is through sexual contact with an infected individual.
It is not primarily spread through the lymphatic system, making choice B an inaccurate description of the infection process.
Choice C rationale:
Neisseria gonorrhoeae is indeed transmitted through sexual contact and enters the body through mucous membranes, where it binds to host cells.
This accurate description aligns with the typical mode of transmission and pathogenesis of gonorrhea.
Choice D rationale:
Gonorrhea does not primarily cause infection by releasing toxins into the bloodstream.
Instead, it infects mucous membranes and causes inflammation and tissue damage through direct invasion by the bacterium.
Choice D does not accurately describe the infection process of Neisseria gonorrhoeae.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"You should be ashamed of yourself for contracting an STI." This response is inappropriate and stigmatizing.
It is essential for healthcare professionals to provide support and empathy to individuals diagnosed with STIs rather than making them feel ashamed or guilty.
Such responses can discourage individuals from seeking care and support.
Choice B rationale:
"I can't provide emotional support; you should talk to someone else." This response is dismissive and unhelpful.
Nurses and healthcare providers should be prepared to offer emotional support to clients dealing with STI diagnoses.
Referring them to another source of support without offering any assistance is not in line with providing comprehensive care.
Choice C rationale:
"It's normal to feel upset, and I'm here to support you through this." This is the correct choice.
The response acknowledges the client's emotional distress, normalizes their feelings, and offers support.
Providing emotional support is an essential aspect of nursing care, especially when clients are dealing with the emotional impact of an STI diagnosis.
Choice D rationale:
"You shouldn't worry; STIs are not a big deal." This response is inaccurate and dismissive of the client's concerns.
While some STIs may have milder symptoms and are treatable, others can lead to severe health complications if left untreated.
It is crucial to take STIs seriously and provide clients with accurate information and support.
Correct Answer is B
Explanation
Choice A rationale:
The nurse correctly states that using condoms consistently during sexual intercourse can help prevent chlamydia.
Chlamydia is primarily transmitted through sexual contact, and barrier methods like condoms can reduce the risk of transmission.
Choice B rationale:
This is the correct answer.
Having a weakened immune system is indeed a risk factor for chlamydia.
Individuals with weakened immune systems, such as those with HIV/AIDS, are more susceptible to various infections, including chlamydia.
Choice C rationale:
The nurse's statement about engaging in unprotected anal sex as a risk factor for chlamydia is accurate.
Chlamydia can be transmitted through various types of sexual intercourse, including anal sex, if a person is infected and precautions like condom use are not taken.
Choice D rationale:
While it is true that chlamydia can be transmitted from a mother to her fetus during pregnancy, this is not typically considered a common risk factor for chlamydia.
The primary mode of transmission is through sexual contact.
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