Nurs 534 Exam Questions with Complete Solutions (100% Correct)

What are risk factors for gonorrhea? Correct answer multiple partners, hx stis, early age at first coitus, gay/bisexual/msm, unprotected intercourse -majority 30 Who should get screened for gonorrhea? Correct answer pregnant women, sex workers, high risk males and females What are signs and symptoms of gonorrhea? Correct answer § usually asymptomatic § purulent yellow/green discharge § may have skene's and bartholin's glands inflammation § dysuria § menstrual irregularities § pelvic pain § fever § necrotic skin lesions -abd pain with intercourse -infected kidneys What are the male symptoms of gonorrhea? Correct answer -"drip" - urethritis - epididymitis -inflammation of penis How is gonorrhea diagnosed? Correct answer naat (for chlamydia as well) Can be urine, endocervical swab or vaginal swab What is the treatment for gonorrhea? Correct answer ceftriaxone 250 mg im once + azithromycin 1 g po once Preggos get the same treatment What are complications of gonorrhea? Correct answer --pid -ectopic pregnancy -infertility -conjunctivitis -tubo-ovarian abscess -epididymitis -associated with other stis -pregnancy complications: ----premature rupture of membrane, -chorioamnionitis Neonatal complications: opthalmia neonatorum, pneumonia, sepsis What education is needed for gonorrhea? Correct answer need for partner notification and treatment. Notification for any partner With whom the patient had sexual contact as soon as possible but within 30 days of the onset of symptoms or 60 days if asymptomatic avoid sexual intercourse after single-dose therapy or until treatment Completion and for 7 more days following the last days of antibiotic tx And resolution of symptoms (if present) repeat infections place women at high risk for pid Men and women who have been treated should be retested 3 months After treatment if retesting at 3 months is not possible, should retest whenever They present for medical care within 12 months following initial Treatment What are risk factors for chlamydia? Correct answer history of stis, multiple sex partners, early age of first coitus, unprotected intercourse What are the signs and symptoms of chlamydia? Correct answer ø 80 % asymptomatic Ø mucopurulent cervical, vaginal, or urethral discharge Ø dyuria Ø urinary frequency and urgency Ø pelvic pain Ø cervical friability Ø cervical motion tenderness Ø inspect males for anal/urethral discharge Ø inspect females for anal/vaginal/cervical discharge -bleeding with intercourse How is chlamydia diagnosed? Correct answer endocervical/vaginal swab for urine for naat Q-tip test: yellow-green discharge from cervix -antigen detection What is the treatment for chlamydia? Correct answer ø azithro 1g x1 Ø azithro 500 mg 3x/day for 7 days 0 doxy 100 mg po 2x/7days preggos- No doxy or levo Retest in 3 weeks Retest at 3rd trimester What is the follow-up for chalmydia? Correct answer follow-up for repeat cultures in 3 months