STUVIA 2024/2025
Ch 54: Sexually Transmitted Infections
A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl). What will
the nurse teach the patient about this medication?
a. "Abstain from sexual intercourse while taking this medication."
b. "Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription."
c. "Take this medication on an empty stomach to increase absorption."
d. "Topical preparations are ineffective for treating bacterial vaginosis." - ✔✔ANS: B
Metronidazole can cause a disulfiram-like reaction when taken with alcohol, so patients should be
cautioned against using foods or drug products that contain alcohol. There is no need to abstain from
sexual intercourse. Metronidazole should be taken with food. The topical preparation is effective
against bacterial vaginosis.
The nurse is speaking with the parent of an 11-year-old girl that is considering vaccination for
human papillomavirus (HPV). Which of the following statements is NOT correct?
a. "HPV infections cause most cervical, vaginal and oropharyngeal cancers."
b. "Pap tests can detect cervical dysplasia, which can be a precursor to cervical cancer if left
untreated."
c. "There are several HPV vaccines available in the US."
%
d. "HPV infection is uncommon." - ✔✔ANS: B
HPV infection is common, with most sexually active persons becoming infected at some point in their
lifetime.
A patient is taking azithromycin to treat a chancroid infection. Which of the following would be
important counseling to the patient?
a. Apply a bacteriostatic ointment to the lesions twice daily.
b. Avoid washing the lesions to prevent spread of the infection.
c. Cover the lesions with gauze at all times to minimize discomfort.
d. Any sexual partners within the 10 days preceding the onset of symptoms should be examined and
treated. - ✔✔ANS: D
Sex partners of patients who have chancroid should be examined and treated if they had sexual
contact with the patient during the 10 days preceding the patient's onset of symptoms. It is not
necessary to apply bacteriostatic ointment or to cover the lesions with gauze. Washing the lesions is
recommended.
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