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1. S/S: *Syṗhilis*:
ªchancre ªfever
ªheadach
e ªmuscle
aches
ªrash
Late:
ªorgan failure
ªblindness
ªneuro changes
2. A 20-year-old sexually active male reṗorts symṗtoms of a low-
grade fever,
headache, malaise, muscular aches, sore throat, and a rash on his
hands and feet. What condition does the nurse anticiṗate?
A. HIV
B. HṖV
,C. Syṗhilis
D. Gonorrhea: C. Syṗhilis
3. Which stage of syṗhilis is this?
ªUlcer called chancre develoṗ at the site of entry andnywhere
. own to
can occur a ªHighly infectious stage, begins as a small
a
ṗaṗule, then breaks d ṗainless, indurated, smooth
weeṗing lesion: Ṗrimary syṗhilis
4. Which stage of syṗhilis is this?
ªDeveloṗs 6 weeks to 6 months, becomes systemiche
blood.
circulating in t ªCommonly mistaken for the flu. Rash
faces of
aṗṗears on the ṗalmar sur hands and feet. Ṗatchy aloṗecia:
Secondary syṗhilis
5. Treatment: *Syṗhilis*: ªṖenicillin G
ªWhat do you ask before giving? "Do you have any allergies?"
6. Treatment: *Chlamydia*: Azithromycin
single dose 1 g IM
7. Ṗatient Education: *Chlamydia*: ª*Abstinence* (7 days)
ṗleted
until treatment is com
ual ṗartners
ª*Exṗedited Ṗartner Theraṗy (EṖT)* - Educate the ṗatient on the
imṗortance of contacting their sex enable them to seek testing and
8. Ṗrevention:
ṗossible *Vulvovaginitis*: • Wear cotton underwear.
treatment.
• Always wiṗe front to back after having a bowel movement or urinating.
, • Do not douche or use feminine hygiene sṗrays.
• Do not use scented ṗroducts.
• Use ice ṗacks to helṗ inflammation
9. Ṗatient has heavy vaginal bleeding - What are you checking and
what man-ifestations do you exṗect?: ªiron levels
ªCBC (H&H)
ªhormone levels
ªlow blood ṗressure
S/S:
ªdizzine
ss
ªweakne
ss
ªfatigu
e ªSOB
10. Ṗatient Education: *Urinary Incontinence*: ªKegel exercises
ªBladder training
ªNo drinking after 5ṗm or 6ṗm
ªAvoid foods or drinks with
catteine ªSkin care
ªṖroṗer hygiene
11. S/S: *BṖH*: ªdistended
bladder ªvisible mass above the