Rasmussen MDC III - Exam 1 questions with
correct answers
S/S: |*Syphilis* |- |VERIFIED |ANSWER✔✔-▪ |chancre
▪ |fever
▪ |headache
▪ |muscle |aches
▪ |rash
Late:
▪ |organ |failure
▪ |blindness
▪ |neuro |changes
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 |- |VERIFIED |ANSWER✔✔-C. |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 |- |VERIFIED |ANSWER✔✔-Primary |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 |- |VERIFIED |ANSWER✔✔-Secondary |syphilis
Treatment: |*Syphilis* |- |VERIFIED |ANSWER✔✔-▪ |Penicillin |G
▪ |What |do |you |ask |before |giving? |"Do |you |have |any |allergies?"
Treatment: |*Chlamydia* |- |VERIFIED |ANSWER✔✔-Azithromycin |single |dose |1 |g |IM
Patient |Education: |*Chlamydia* |- |VERIFIED |ANSWER✔✔-▪ |*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.
Prevention: |*Vulvovaginitis* |- |VERIFIED |ANSWER✔✔-• |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
Patient |has |heavy |vaginal |bleeding |- |What |are |you |checking |and |what |manifestations |
, do |you |expect? |- |VERIFIED |ANSWER✔✔-▪ |iron |levels
▪ |CBC |(H&H)
▪ |hormone |levels
▪ |low |blood |pressure
S/S:
▪ |dizziness
▪ |weakness
▪ |fatigue
▪ |SOB
Patient |Education: |*Urinary |Incontinence* |- |VERIFIED |ANSWER✔✔-▪ |Kegel |exercises
▪ |Bladder |training
▪ |No |drinking |after |5pm |or |6pm
▪ |Avoid |foods |or |drinks |with |caffeine
▪ |Skin |care
▪ |Proper |hygiene
S/S: |*BPH* |- |VERIFIED |ANSWER✔✔-▪ |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**
Pharmaceutical |Treatment: |*BPH* |- |VERIFIED |ANSWER✔✔-alpha-1 |blockers |
(doxazosin) |- |better |for |patients |with |hypertension |too
What |medications |should |patients |with |BPH |avoid? |- |VERIFIED |ANSWER✔✔-
anticholinergics
Pharmaceutical |Treatment: |*Erectile |Dysfunction* |- |VERIFIED |ANSWER✔✔-▪ |
phosphodiesterase |- |5 |(PDE-5) |inhibitors |(ex: |sildenafil, |vardenafil, |tadalafil)
Risk |factors |for |ED |- |VERIFIED |ANSWER✔✔-▪ |**Stress**
▪ |**Increasing |age**
▪ |**Smoking**
▪ |Obesity
▪ |**Hypertension**
▪ |**Medications |such |as |antihypertensives**
▪ |**Endocrine |disorders |(Diabetes |mellitus, |thyroid)**
▪ |Chemotherapy
▪ |**Alcohol |and |drug |abuse**
correct answers
S/S: |*Syphilis* |- |VERIFIED |ANSWER✔✔-▪ |chancre
▪ |fever
▪ |headache
▪ |muscle |aches
▪ |rash
Late:
▪ |organ |failure
▪ |blindness
▪ |neuro |changes
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 |- |VERIFIED |ANSWER✔✔-C. |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 |- |VERIFIED |ANSWER✔✔-Primary |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 |- |VERIFIED |ANSWER✔✔-Secondary |syphilis
Treatment: |*Syphilis* |- |VERIFIED |ANSWER✔✔-▪ |Penicillin |G
▪ |What |do |you |ask |before |giving? |"Do |you |have |any |allergies?"
Treatment: |*Chlamydia* |- |VERIFIED |ANSWER✔✔-Azithromycin |single |dose |1 |g |IM
Patient |Education: |*Chlamydia* |- |VERIFIED |ANSWER✔✔-▪ |*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.
Prevention: |*Vulvovaginitis* |- |VERIFIED |ANSWER✔✔-• |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
Patient |has |heavy |vaginal |bleeding |- |What |are |you |checking |and |what |manifestations |
, do |you |expect? |- |VERIFIED |ANSWER✔✔-▪ |iron |levels
▪ |CBC |(H&H)
▪ |hormone |levels
▪ |low |blood |pressure
S/S:
▪ |dizziness
▪ |weakness
▪ |fatigue
▪ |SOB
Patient |Education: |*Urinary |Incontinence* |- |VERIFIED |ANSWER✔✔-▪ |Kegel |exercises
▪ |Bladder |training
▪ |No |drinking |after |5pm |or |6pm
▪ |Avoid |foods |or |drinks |with |caffeine
▪ |Skin |care
▪ |Proper |hygiene
S/S: |*BPH* |- |VERIFIED |ANSWER✔✔-▪ |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**
Pharmaceutical |Treatment: |*BPH* |- |VERIFIED |ANSWER✔✔-alpha-1 |blockers |
(doxazosin) |- |better |for |patients |with |hypertension |too
What |medications |should |patients |with |BPH |avoid? |- |VERIFIED |ANSWER✔✔-
anticholinergics
Pharmaceutical |Treatment: |*Erectile |Dysfunction* |- |VERIFIED |ANSWER✔✔-▪ |
phosphodiesterase |- |5 |(PDE-5) |inhibitors |(ex: |sildenafil, |vardenafil, |tadalafil)
Risk |factors |for |ED |- |VERIFIED |ANSWER✔✔-▪ |**Stress**
▪ |**Increasing |age**
▪ |**Smoking**
▪ |Obesity
▪ |**Hypertension**
▪ |**Medications |such |as |antihypertensives**
▪ |**Endocrine |disorders |(Diabetes |mellitus, |thyroid)**
▪ |Chemotherapy
▪ |**Alcohol |and |drug |abuse**
