NSG 3250 Exam 4 Study Guide Units 8–10 | Adult Health Nursing | Galen College

NSG 3250
EXAM 4 STUDY GUIDE
Units 8, 9 & 10
Adult Health Nursing
Galen College of Nursing

This document provides a focused study guide
It summarizes key concepts, lecture highlights, and
exam-relevant material to support efficient last-minute
review. The guide is structured to help students
reinforce understanding, identify weak areas, and
prepare confidently for the assessment.

,Unit 8
Sexually Transmitted Infections




 Sites of infection
o Skin
o Mucosal lining of urethra, cervix, vagina, rectum, oropharynx

Nursing Process- Assessment
 Protect confidentiality
o “Five P’s”
 Partners
 Prevention of pregnancy
 Protection from STIs
 Practices
 Past history of STIs
 Communication- culturally and emotionally sensitive, clarification of terms
 Physical exam
o Rashes
o Lesions
o Drainage
o Inguinal nodes
o Genitals
o Rectal
o Mouth and throat
o Women need abdominal and uterine exam

Diagnosis
 Risk for infection
 Deficient knowledge
 Risk for ineffective therapeutic regimen

,General interventions
 Education about STIs and the spread of infection
o Learning assessment
o Individualized education
o Therapeutic regimen
 Reducing anxiety
o Encourage discussion/ sharing
o Provide factual information
o Assistance in planning discussion with partners
o Referral to social worker or other specialists
 Increasing adherence
o Patient education in group or individual settings
o Referral to supports

Collaborative problems and potential complications
 Pelvic inflammatory disease
 Ectopic pregnancy
 Transmission of infection to fetus
 Neurosyphilis
 Gonococcal arthritis
 Syphilitic aortitis


Gonorrhea
 Clinical manifestations
o Asymptomatic
o Women- inflamed cervix, purulent discharge, UTI, vaginitis
o Men- burning w/ urination, penile discharge, painful swollen testicles
 Complications
o Arthritis, bloodstream infection, infertility, meningitis
o Women
 PID
 Ectopic pregnancy
 Endometriosis
o Men
 Epididymitis
 Diagnosis
o Assess for fever, discharge (urethral, vaginal, rectal), arthritis
o Swab
 Cervical or penile discharge
 Medical management
o Tetracycline (doxycycline)
o Cephalosporins (ceftriaxone)
 Nursing interventions
o Counseling safe sex- adolescent, young adult

, o Annual screening
o Reporting procedure- local public health department responsible for:
 Identify sexual contacts
 Contact notification
 Contact screening
o Standard precautions
 Nursing diagnosis
o Fear r/t altered body function
o Risk for social isolation
o Fear of incurable illness
o Ineffective health maintenance r/t deficient knowledge regarding transmission,
symptoms, treatment of STI

Syphilis
 Stages of syphilis
o Primary syphilis
 Chancre, lasts 3-12 weeks
o Secondary syphilis
 Rash, HA, muscle aches, 1wk-6mos later
 Can go in latent period after this stage
o Tertiary syphilis
 Progressive inflammation, MODS (multiple organ dysfunction syndrome)
 Assessment and diagnostic
o Nontreponemal or regain test (titers down)
o Treponemal tests (permanent positive)
 Medical managmanet
o Penicillin (penicillin G)
 IM, one or three sessions
o Tetracycline (doxycycline)
 Alternative
 Nursing management
o Report to state public health
o Standard precautions
o Hand hygiene
o Education (chart 71.7)