Rasmussen MDC III - Exam 1 with Answers 2024

Rasmussen MDC III - Exam 1 with Answers 2024 ▪ chancre ▪ fever ▪ headache ▪ muscle aches ▪ rash Late: ▪ organ failure ▪ blindness ▪ neuro changes - ️️ - S/S: *Syphilis* C. Syphilis - ️️ - A 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 - ️️ - Which 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 - ️️ - Which 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?" - ️️ - Treatment: *Syphilis* Azithromycin single dose 1 g IM - ️️ - Treatment: *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. - ️️ - Patient 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 - ️️ - Prevention: *Vulvovaginitis* ▪ iron levels ▪ CBC (H&H) ▪ hormone levels ▪ low blood pressure S/S: ▪ dizziness ▪ weakness ▪ fatigue ▪ SOB - ️️ - Patient 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 - ️️ - Patient 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** - ️️ - S/S: *BPH* alpha-1 blockers (doxazosin) - better for patients with hypertension too - ️️ - Pharmaceutical Treatment: *BPH* anticholinergics - ️️ - What medications should patients with BPH avoid? ▪ phosphodiesterase - 5 (PDE-5) inhibitors (ex: sildenafil, vardenafil, tadalafil) - ️️ - Pharmaceutical Treatment: *Erectile Dysfunction* ▪ **Stress** ▪ **Increasing age** ▪ **Smoking** ▪ Obesity ▪ **Hypertension** ▪ **Medications such as antihypertensives** ▪ **Endocrine disorde