Rasmussen MDC III - Exam 1 with answers
S/S: *Syphilis* - CORRECT ANSWERS ✔✔▪ 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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS
✔✔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 - CORRECT ANSWERS ✔✔Secondary syphilis
Treatment: *Syphilis* - CORRECT ANSWERS ✔✔▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* - CORRECT ANSWERS ✔✔Azithromycin single dose
1 g IM
Patient Education: *Chlamydia* - CORRECT ANSWERS ✔✔▪ *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* - CORRECT ANSWERS ✔✔• 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? - CORRECT ANSWERS ✔✔▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB
Patient Education: *Urinary Incontinence* - CORRECT ANSWERS ✔✔▪ Kegel
exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
S/S: *Syphilis* - CORRECT ANSWERS ✔✔▪ 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 - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS
✔✔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 - CORRECT ANSWERS ✔✔Secondary syphilis
Treatment: *Syphilis* - CORRECT ANSWERS ✔✔▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* - CORRECT ANSWERS ✔✔Azithromycin single dose
1 g IM
Patient Education: *Chlamydia* - CORRECT ANSWERS ✔✔▪ *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* - CORRECT ANSWERS ✔✔• 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? - CORRECT ANSWERS ✔✔▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB
Patient Education: *Urinary Incontinence* - CORRECT ANSWERS ✔✔▪ Kegel
exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
