Timby's Introductory Medical-Surgical Nursing: Chapter 56: Caring for Clients W/ Sexually Transmitted Infections Flashcards

REVIEW BOX 56-1: QUESTIONS TO ASK WHEN OBTAINING A SEXUAL HISTORY FROM THE CLIENT W/ AN STI

REVIEW CLIENT AND FAMILY TEACHING 56-1: METHODS FOR REDUCING THE RISK OF STIs

THIS CLIENT PRESENTS W/

• SPARSE, CLEAR URETHRAL DISCHARGE
• REDNESS AND IRRITATION OF THE INFECTED TISSUE
• BURNING ON URINATION
• LOWER ABDOMINAL PAIN IN WOMEN
• TESTICULAR PAIN IN MEN

WHAT IS THE PREFERRED METHOD FOR DX'ING CHLAMYDIA?

MEDICAL TX FOR CHLAMYDIA?

REVIEW CLIENT AND FAMILY TEACHING 56-2 ON PAGE 773

• CAN BE TRANSMITTED HOMO OR HETEROSEXUALLY
• CAN INVADE THE URETHRA, VAGINA, RECTUM, OR PHARYNX
• CAN BE TRANSMITTED TO INFANTS EYES AT THE TIME OF BIRTH

THIS CLIENT PRESENTS W/:

• URETHRITIS AND PURULENT DISCHARGE
• WHITE/YELLOW VAGINAL DISCHARGE
• INTERMENSTRUAL BLLEDING
• IF THERE'S AN ANAL INFECTION PRESENT: PAINFUL BOWEL MOVEMENTS AND RECTAL DISCHARGE
• IF PHARYNX IS INFECTED: THROAT IS SORE
• IF INFECTION SCATTERS THROUGHOUT THE BODY: CLIENT MAY HAVE RASH, FEVER, AND PAINFUL JOINTS

MEDICAL TREATMENT FOR GONORRHEA

HOW SHOULD A CULTURE FROM A WOMEN BE OBTAINED WHEN TESTING FOR GONORRHEA?

THIS CLIENT PRESENTS W/:

• PRIMARY STAGE: CHANCRE (PAINLESS ULCER) THAT APPEARS ON GENITALS, ANUS, CERVIX, AND OTHER PARTS OF THE BODY; IF TX HASN'T BEEN INITIATED, CLIENT PROGRESSES TO 2ND STAGE
• 2ND STAGE: FEVER, RASH ON TRUNK, BACK, ARMS, PALMS, OR SOLES THAT DO NOT ITCH, PATCHY HAIR LOSS, HEADACHE, SORE THROAT; IF LEFT UN-TX'D, IT CAN PROGRESS TO 3RD STAGE
• TERTIARY STAGE: INVASION OF THE CNS

WHAT DIAGNOSTIC TEST IS USED FOR SYPHILLIS?

MEDICAL TREATMENT OF SYPHILLIS?

• HIGHLY CONTAGIOUS STI THAT IS CONTROLLABLE BUT NOT CURABLE

PRIMARILY RESPONSIBLE FOR GENITAL AND PERINEAL LESIONS

ASSOCIATED W/ COLD SORES AROUND THE NOSE AND LIPS

THIS CLIENT PRESENTS W/:

• VESICLES OF PENIS, PREPUCE, BUTTOCKS, THIGHS, CERVIX
• THE VESICLES LEAD TO PAINFUL, RED ULCERS THAT SCAB OVER AND DISAPPEAR
• SWELLING OF THE INGUINAL LYMPH NODES
• DX'D BY SMEANS AND SCRAPINGS OF LESIONS

MEDICAL TX FOR HSV?

THIS CLIENT PRESENTS W/:

• GENITAL WARTS RESEMBLING CAULIFLOWER
• LARGE GENITAL WARTS MAY NARROW OR OBSTRUCT THE URETHRA, VAGINA, ANUS, OR THROAT
• THE WARTS TURN WHITE WHEN VINEGAR IS APPLIED TO THE LESIONS

MEDICAL TX FOR CLIENTS W/ HPV?

THIS CLIENT PRESENTS W/:

• URETHRITIS AND PURULENT DISCHARGE
• WHITE/YELLOW VAGINAL DISCHARGE
• INTERMENSTRUAL BLEEDING
• IF THERE'S AN ANAL INFECTION PRESENT: PAINFUL BOWEL MOVEMENTS AND RECTAL DISCHARGE
• IF PHARYNX IS INFECTED: THROAT IS SORE
• IF INFECTION SCATTERS THROUGHOUT THE BODY: CLIENT MAY HAVE RASH, FEVER, AND PAINFUL JOINTS

WHAT STI CAN CAUSE COLORBLINDNESS?