NMNCfb1210fbExamfb4
1. Nursingfbprocess -screeningfbhighfbriskfbpopulationsfb(iffb+fbtestfbforfballfbSTIs)
fbforfballfbSTI's
-contactfbsexualfbpartnersfbw/nfblastfb60fbdaysfb(syphilisfb90fbdays)
-Retestingfbinfb3fbmonthsfbafterfbinitialfbtreatment
-abstainfbfromfbsexfbforfb7fbdaysfbafterfbstartingfbtherapy
-teachfbsafefbsexfbpractices
-reportfbchlamydia,fbsyphilis,fbandfbgonorrheafbtofbDOH
2. Populationsfbat -patientsfbwhofbparticipatefbinfbhigh-
fbriskfbforfbSTIs
riskfbbehaviorfb(etohfbuse,fbdrugfbuse,fbmultiplefbsexualfbpartners,fb inconsistent/in
correctfb usefb offb condoms,fb andfb sharingfb needles)
-HxfboffbSTIs
-notf b immunizedfb againstf b STIs
-Agedfb25fbyearsfborfbyounger
-Asians,fbnativefbAmericans,fbnativefbHawaiian
-menfbwhofbhavefbsexfbw/fbmenfb(MSM)
-personsfbinfbcorrectionalfbfacilities
-transgenderfbwomen
-victimsfboffbsexualfbassault
-women
3. Chlamydialfbinfec-
fbtion
mostfbcommonfbSTIfbinfbthefbUSfbtransmittedfbsexualfbintercoursefb(oral,fbvaginal,fbanal)fb
evenfbw/ofbejaculation
4. Etiologyfbof
fbchlamydi
Causedfb byfb Chlamydiafb trachomatisfb afb gram-negativefb bacteria
a
-1-3fbweekfbincubationfbperiod
5. ManifestationsfboffbMen:fburethritis,fbdischargefbfromfbpenis,fbdysuria,fbtesticularfbswelling
chlamydia
Women:fbcervicitis,fbdischargefbfromfbvagina,fbdysuria,fbtenesmusfb(feelingfboffbneedi
ngfbtofbevacuatefbbowels),fbandfbpelvicfbinflammatoryfbdiseasefb(PID)fbca
6. -nucleicfbacidfbtesting
fb fb
, NMNCfb1210fbExamfb4
Therapeuticfbm
anagementfboffbc
hlamydia
7. Medicationsfbfor Doxycycline
fbChlamydia
8. Nursingfbcon- -providingfbtreatmentfbtofbavoidfbping-pongfbettect
fbsiderationsfbf
-complicationsfbwithfbmalefbptfbcanfbcausefbepididymitisfbwhichfbcanfbcausefbinfertility
orfbchlamydia -complicationsfbforfbfemalefbpatientsfbPID
-bothfbsexesfbcanfbcontractfbreactivefbarthritis
9. Gonorrhea secondfbmostfbcommonfbSTI
-transmittedfbbyfbexposurefbtofbsexualfbfluid;fbejaculationfbnotfbnecessary
10. EtiologyfboffbGon causedfbbyfbgram-negativefbneisseriafbgonorrhoeae
-fborrhea -incubationfbperiodfb1-14fbdays
11. Manifestationfbof Menfb (urethra):fb dysuria,fb purulentfb discharge,fb epididymitis
fbGonorrhea
Womenfb(cervix):fbvaginalfbdischarge,fbdysuria,fbfrequencyfboffburine,fbbleedingfbafterfbsex
,fbinfectionfboffbthefbglands
12. Therapeuticfbm -labfbtestsfb(gramfbstainfbsmears,fbculture,fbNAAT)
anagementfboffb -testingfbforfbotherfbSTIs
Gonorrhea
13. Medicationsfbfor -firstfbline:fbhighfbdosefbIMfbceftriaxone
fbGonorrhea
14. Nursingfbconsid- -
fberationsfbforfbGon
canfbettectsfbneonatesfbiffbexposedfbtofbinfectedfbmotherfbduringfbdeliveryfbandfbcausesfbgo
-fborrhea nococcalfbconjunctivitisfbcausingfbpermanentfbblindness
fb fb
, NMNCfb1210fbExamfb4
15. Disseminatedf Rarefbsystemfboffbgonorrheafbcharacterizedfbbyfbfever,fbarthralgia,fbarthritis,fband/orfbendocar
bGonococcalfbI
ditis,fbandfbskinfblesions
nfectionfb(DGI)
16. Etiologyfboffbtri Causedf b byf b protozoanf b parasitefb trichomonasf b vaginalis
-
-oftenfboverlooked
fbchomoniasis
-transmittedfbthroughfbsexualfbfluid,fbejaculationfbnotfbnecessary
-incubationfbperiod:fb1fbweekfbtofb1fbmonth
17. Manifestationsfboff b Metronidazole
trichomoniasis Menfb(urethra:fbdysuria,fbpainfbwithfbejaculation,fburethrafbdischarge)
Womenfb(cervix)-
fbdysuria,fbvaginalfbitching,fbpainfulfbintercourse,fbbleedingfbafterfbsex,f b orfbyellow-
greenfbdischargefbwithfbfoulfbodor,fb"strawberryfbcervix)
18. Therapeuticfbm
anagementfboffbt -NAAT
richomoniasis -culture
-POCT
-directfbvisualizationfboffbdiseasefbunderfbmicroscope
19. Medicationsfbfor
fbtrichomoniasi
-metronidazolefb(flagyl)
s -tinidazolefb(tindamax)
20. Nursingfbconsid- -oftenfbettectsfbfemalefbpts
fberationsfbforfbtri
-fbchomoniasis
21. Genitalfbherpes life-
longfbdiseasefbcausedfbbyfbHSV,fbmostlyfbtransmittedfbbyfbptfbwhofbdon'tfbknowfbtheyfbarefbin
fected
primaryfbepisode:fb2-12fbdays
fb fb
, NMNCfb1210fbExamfb4
22. Etiologyfboffbgeni thefbvirusfbentersfbthroughfbmucousfbmembranesfbandfbreproducesfbinsidefboffbcell
-fbtalfbherpes s,fbspreadingfbtofbsurroundingfbcells
fb fb
1. Nursingfbprocess -screeningfbhighfbriskfbpopulationsfb(iffb+fbtestfbforfballfbSTIs)
fbforfballfbSTI's
-contactfbsexualfbpartnersfbw/nfblastfb60fbdaysfb(syphilisfb90fbdays)
-Retestingfbinfb3fbmonthsfbafterfbinitialfbtreatment
-abstainfbfromfbsexfbforfb7fbdaysfbafterfbstartingfbtherapy
-teachfbsafefbsexfbpractices
-reportfbchlamydia,fbsyphilis,fbandfbgonorrheafbtofbDOH
2. Populationsfbat -patientsfbwhofbparticipatefbinfbhigh-
fbriskfbforfbSTIs
riskfbbehaviorfb(etohfbuse,fbdrugfbuse,fbmultiplefbsexualfbpartners,fb inconsistent/in
correctfb usefb offb condoms,fb andfb sharingfb needles)
-HxfboffbSTIs
-notf b immunizedfb againstf b STIs
-Agedfb25fbyearsfborfbyounger
-Asians,fbnativefbAmericans,fbnativefbHawaiian
-menfbwhofbhavefbsexfbw/fbmenfb(MSM)
-personsfbinfbcorrectionalfbfacilities
-transgenderfbwomen
-victimsfboffbsexualfbassault
-women
3. Chlamydialfbinfec-
fbtion
mostfbcommonfbSTIfbinfbthefbUSfbtransmittedfbsexualfbintercoursefb(oral,fbvaginal,fbanal)fb
evenfbw/ofbejaculation
4. Etiologyfbof
fbchlamydi
Causedfb byfb Chlamydiafb trachomatisfb afb gram-negativefb bacteria
a
-1-3fbweekfbincubationfbperiod
5. ManifestationsfboffbMen:fburethritis,fbdischargefbfromfbpenis,fbdysuria,fbtesticularfbswelling
chlamydia
Women:fbcervicitis,fbdischargefbfromfbvagina,fbdysuria,fbtenesmusfb(feelingfboffbneedi
ngfbtofbevacuatefbbowels),fbandfbpelvicfbinflammatoryfbdiseasefb(PID)fbca
6. -nucleicfbacidfbtesting
fb fb
, NMNCfb1210fbExamfb4
Therapeuticfbm
anagementfboffbc
hlamydia
7. Medicationsfbfor Doxycycline
fbChlamydia
8. Nursingfbcon- -providingfbtreatmentfbtofbavoidfbping-pongfbettect
fbsiderationsfbf
-complicationsfbwithfbmalefbptfbcanfbcausefbepididymitisfbwhichfbcanfbcausefbinfertility
orfbchlamydia -complicationsfbforfbfemalefbpatientsfbPID
-bothfbsexesfbcanfbcontractfbreactivefbarthritis
9. Gonorrhea secondfbmostfbcommonfbSTI
-transmittedfbbyfbexposurefbtofbsexualfbfluid;fbejaculationfbnotfbnecessary
10. EtiologyfboffbGon causedfbbyfbgram-negativefbneisseriafbgonorrhoeae
-fborrhea -incubationfbperiodfb1-14fbdays
11. Manifestationfbof Menfb (urethra):fb dysuria,fb purulentfb discharge,fb epididymitis
fbGonorrhea
Womenfb(cervix):fbvaginalfbdischarge,fbdysuria,fbfrequencyfboffburine,fbbleedingfbafterfbsex
,fbinfectionfboffbthefbglands
12. Therapeuticfbm -labfbtestsfb(gramfbstainfbsmears,fbculture,fbNAAT)
anagementfboffb -testingfbforfbotherfbSTIs
Gonorrhea
13. Medicationsfbfor -firstfbline:fbhighfbdosefbIMfbceftriaxone
fbGonorrhea
14. Nursingfbconsid- -
fberationsfbforfbGon
canfbettectsfbneonatesfbiffbexposedfbtofbinfectedfbmotherfbduringfbdeliveryfbandfbcausesfbgo
-fborrhea nococcalfbconjunctivitisfbcausingfbpermanentfbblindness
fb fb
, NMNCfb1210fbExamfb4
15. Disseminatedf Rarefbsystemfboffbgonorrheafbcharacterizedfbbyfbfever,fbarthralgia,fbarthritis,fband/orfbendocar
bGonococcalfbI
ditis,fbandfbskinfblesions
nfectionfb(DGI)
16. Etiologyfboffbtri Causedf b byf b protozoanf b parasitefb trichomonasf b vaginalis
-
-oftenfboverlooked
fbchomoniasis
-transmittedfbthroughfbsexualfbfluid,fbejaculationfbnotfbnecessary
-incubationfbperiod:fb1fbweekfbtofb1fbmonth
17. Manifestationsfboff b Metronidazole
trichomoniasis Menfb(urethra:fbdysuria,fbpainfbwithfbejaculation,fburethrafbdischarge)
Womenfb(cervix)-
fbdysuria,fbvaginalfbitching,fbpainfulfbintercourse,fbbleedingfbafterfbsex,f b orfbyellow-
greenfbdischargefbwithfbfoulfbodor,fb"strawberryfbcervix)
18. Therapeuticfbm
anagementfboffbt -NAAT
richomoniasis -culture
-POCT
-directfbvisualizationfboffbdiseasefbunderfbmicroscope
19. Medicationsfbfor
fbtrichomoniasi
-metronidazolefb(flagyl)
s -tinidazolefb(tindamax)
20. Nursingfbconsid- -oftenfbettectsfbfemalefbpts
fberationsfbforfbtri
-fbchomoniasis
21. Genitalfbherpes life-
longfbdiseasefbcausedfbbyfbHSV,fbmostlyfbtransmittedfbbyfbptfbwhofbdon'tfbknowfbtheyfbarefbin
fected
primaryfbepisode:fb2-12fbdays
fb fb
, NMNCfb1210fbExamfb4
22. Etiologyfboffbgeni thefbvirusfbentersfbthroughfbmucousfbmembranesfbandfbreproducesfbinsidefboffbcell
-fbtalfbherpes s,fbspreadingfbtofbsurroundingfbcells
fb fb
