Rasmussen MDC III - Exam 1
▪ chancre
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes - ANSS/S: *Syphilis*
C. Syphilis - ANSA 20-year-old sexually active male reports symptoms of a low-grade fever,
headache, malaise, muscular aches, sore throat, and a rash on his hands and feet. What
condition does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
Primary syphilis - ANSWhich stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to a painless,
indurated, smooth weeping lesion
Secondary syphilis - ANSWhich stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet.
Patchy alopecia
▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" - ANSTreatment: *Syphilis*
Azithromycin single dose 1 g IM - ANSTreatment: *Chlamydia*
▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of contacting
their sexual partners to enable them to seek testing and possible treatment. - ANSPatient
Education: *Chlamydia*
• Wear cotton underwear.
, • Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation - ANSPrevention: *Vulvovaginitis*
▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB - ANSPatient has heavy vaginal bleeding - What are you checking and what
manifestations do you expect?
▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene - ANSPatient Education: *Urinary Incontinence*
▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
▪ diminished force of urinary stream
▪ urinary hesitancy
▪ urinary frequency
▪ urinary urgency
▪ urinary retention
▪ incontinence
▪ incomplete emptying of the bladder
▪ **dribbling post-voiding**
▪ nocturia
▪ hematuria
▪ straining with urination
▪ obstruction of urine flow
**presents as a uniform, elastic non-tender enlargement** - ANSS/S: *BPH*
alpha-1 blockers (doxazosin) - better for patients with hypertension too - ANSPharmaceutical
Treatment: *BPH*
anticholinergics - ANSWhat medications should patients with BPH avoid?
▪ chancre
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes - ANSS/S: *Syphilis*
C. Syphilis - ANSA 20-year-old sexually active male reports symptoms of a low-grade fever,
headache, malaise, muscular aches, sore throat, and a rash on his hands and feet. What
condition does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea
Primary syphilis - ANSWhich stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to a painless,
indurated, smooth weeping lesion
Secondary syphilis - ANSWhich stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet.
Patchy alopecia
▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" - ANSTreatment: *Syphilis*
Azithromycin single dose 1 g IM - ANSTreatment: *Chlamydia*
▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of contacting
their sexual partners to enable them to seek testing and possible treatment. - ANSPatient
Education: *Chlamydia*
• Wear cotton underwear.
, • Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation - ANSPrevention: *Vulvovaginitis*
▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB - ANSPatient has heavy vaginal bleeding - What are you checking and what
manifestations do you expect?
▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene - ANSPatient Education: *Urinary Incontinence*
▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
▪ diminished force of urinary stream
▪ urinary hesitancy
▪ urinary frequency
▪ urinary urgency
▪ urinary retention
▪ incontinence
▪ incomplete emptying of the bladder
▪ **dribbling post-voiding**
▪ nocturia
▪ hematuria
▪ straining with urination
▪ obstruction of urine flow
**presents as a uniform, elastic non-tender enlargement** - ANSS/S: *BPH*
alpha-1 blockers (doxazosin) - better for patients with hypertension too - ANSPharmaceutical
Treatment: *BPH*
anticholinergics - ANSWhat medications should patients with BPH avoid?
