NUR 223 Final 2024 Exam (with Complete Solutions)

Family Planning correct answers *Most effective- abstinence *Least effective- calendar rhythm method OR pull out method (coitus interruptus) *Male condoms- do not store in hot conditions Oral Contraceptives correct answers S/E: dizziness, nausea, mood changes, HTN, blood clots, MI, CVA, irregular bleeding, wt gain, increased risk for ectopic pregnancy Contraindications- pregnancy, hx DVTs, liver disease, estrogen depending carcinomas, heavy smoking, gallbladder disease, DM, hyperlipidemia Early signs of complications for OC users: correct answers A: Abdominal pain may indicate gallbladder/liver problems C: Chest pain or SOB may indicate PE H: Headaches may indicate HTN or impending CVA E: Eye problems may indicate HTN S: Severe leg pain may indicate a thromboembolic event Primary Syphillis correct answers *Chancre develops- 1st sign of syphilis *Begins as small papule, then breaks down in 3-7 days into a PAINLESS, indurated (hard), smooth, weeping lesion *Without tx- chancre will disappear within 6 wks but organism is scattered throughout body Secondary Syphilils correct answers *Develops 6 weeks-6 months after chancre disappears *Symptoms- copper colored rash (esp palms & soles), sore throat, flu-like symptoms, joint pain/tenderness, flat lesions, hair loss *Symptoms disappear in 4-12 weeks Latent Syphilis correct answers *Begins about 1-2 yrs after infection & can last up to 50 yrs *Early latent- during 1st yr after infection *Late latent- year 2 up to 50, not infectious except to the fetus of a pregnant woman (may not have active serology test) *NO symptoms; not transmittable by sexual contact --but can still be transmitted VIA BLOOD -Only 30% of people with latent syphilis get tertiary syphilis Tertiary Syphilis correct answers *Can occur from 4 yrs up to 20 yrs *May be evidenced by tumors (benign lesions or gummas) in the skin, mucus membranes, bones and liver -Also seen in a diffuse inflammatory response which targets the nervous and cardiovascular systems: seizures, hemiplegia, ataxia, constricted pupils, slurred speech, personality changes, aneurysms, aortic insufficiency, coronary artery stenosis Syphilis Diagnostic Tests correct answers *Physical exam