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


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1

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

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

2

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

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

3

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

CHLAMYDIA

4

WHAT IS THE PREFERRED METHOD FOR DX'ING CHLAMYDIA?

NUCLEIC ACID AMPLIFICATION TESTING

5

MEDICAL TX FOR CHLAMYDIA?

ANTIBIOTICS THAT END IN -MYCIN

6

REVIEW CLIENT AND FAMILY TEACHING 56-2 ON PAGE 773

REVIEW CLIENT AND FAMILY TEACHING 56-2 ON PAGE 773

7
  • 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

GONORRHEA

8

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

GONORRHEA

9

MEDICAL TREATMENT FOR GONORRHEA

EXTREMELY RESISTANT TO ANTIMICROBIALS SO ENSURE COMPLETE ADHERENCE TO ALL MEDICATIONS

  • CEFTRIAXONE (CHECK CLIENT ALLERGIES!)

10

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

THE VAGINAL SPECULUM IS MOISTENED WITH WATER INSTEAD OF A LUBRICANT B/C THE LUBRICANT CAN CAUSE INACCURATE TEST RESULTS

11

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

SYPHILLIS

12

WHAT DIAGNOSTIC TEST IS USED FOR SYPHILLIS?

  • RAPID PLASMA REAGIN (RPR)
  • CEREBROSPINAL FLUID IF CNS SYMPTOMS DEVELOP

13

MEDICAL TREATMENT OF SYPHILLIS?

  • PENICILLIN G (LOOK OUT FOR ANY ALLERGIC REACTIONS)
  • FOLLOW-UP EXAMS AND TESTS ARE RECOMMENDED 3, 6, AND 12 MONTHS POST-INITIAL TREATMENT

14
  • HIGHLY CONTAGIOUS STI THAT IS CONTROLLABLE BUT NOT CURABLE

HERPES SIMPLEX VIRUS (HSV)

15

PRIMARILY RESPONSIBLE FOR GENITAL AND PERINEAL LESIONS

HSV-2; GENITAL HERPES

16

ASSOCIATED W/ COLD SORES AROUND THE NOSE AND LIPS

HSV-1

17

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

HSV-2

18

MEDICAL TX FOR HSV?

  • MEDICATIONS THAT END IN -VIR
  • C-SECTION FOR PREGNANT MOTHERS TO AVOID TRANSMISSION

19

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

HUMAN PAPILLOMA INFECTION (HPV)

20

MEDICAL TX FOR CLIENTS W/ HPV?

  • NO ANTIVIRALS TX THIS DISEASE
  • ABSTAINING FROM SEX OR USING CONDOMS/DENTAL DAMS
  • VACCINATIONS, PREFERABLY B/F SEXUAL INTERCOUSE OCCURS

21

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

GONORRHEA

22

WHAT STI CAN CAUSE COLORBLINDNESS?

SYPHILLIS