NSG 504 Exam 3 WITH ANSWERS

NSG 504 Exam 3 WITH ANSWERS
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When you take a sexual history of a patient, what are the 5 P's
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you ask? - CORRECT ANSWERS ✔✔partners
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prevention of pregnancy |\ |\




protection from STIs |\ |\




practices
past history of STIs
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What are considered to be the safest risk reduction practices for
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STIs? - CORRECT ANSWERS ✔✔-no contact/exchange or blood or
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body fluids (BBF)
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-abstinence
-monogamy
-self masturbation
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-sexual fantasy |\




What are considered to be the low, but potential risk reduction
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practices for STIs? - CORRECT ANSWERS ✔✔minimal exposure to
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BBF
-any sex w/ condom or monogamy
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,What are considered to be the high risk (unsafe) reduction
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practices for STIs? - CORRECT ANSWERS ✔✔exposure to BBF due
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to high risk behaviors
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-unprotected sex |\




-multiple sex partners, no HIV/STI testing
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Which country has the highest rate of STI's of all the developed
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countries? What 3 STI's are highest prevelance? - CORRECT
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ANSWERS ✔✔the US baby |\ |\ |\




-syphilis
-gonorrhea
-chlamydia


Around how many people per year get STI's in the US and what
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age range is the highest prevelance? - CORRECT ANSWERS ✔✔20
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million
15-24 yr olds |\ |\




What are the new infections gaining rise for STI's? - CORRECT
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ANSWERS ✔✔HPV |\




Chlamydia


What are the more prevalent STI's in young adults? Why is this? -
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CORRECT ANSWERS ✔✔gonorrhea, chlamydia, HPV
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,-lack of symptoms lead to lack of screening & treatment
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What are some factors that place youth at risk? - CORRECT
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ANSWERS ✔✔-insufficient screening |\ |\




-concern of confidentiality |\ |\




-immature development of cervix |\ |\ |\




-lack of access
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-multiple partners |\




What population has an increased risk of STI? - CORRECT
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ANSWERS ✔✔widowed men |\ |\




With older adults and STI's, what are some stats for erectile
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dysfunction meds? - CORRECT ANSWERS ✔✔40% of men 57-85
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have some form of ED
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2x likely to have STI w/ use of ED
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In 2017, what was the most common condition reported to the
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CDC? - CORRECT ANSWERS ✔✔chlamydia
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What happens when STIs are left untreated? - CORRECT
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ANSWERS ✔✔-increase risk of giving or getting HIV
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-long term pelvic abdominal pain
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, -inability to get pregnant or pregnancy complications
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What is the treatment for chlamydia? - CORRECT ANSWERS
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✔✔azithromycin 1g PO x 1dose |\ |\ |\ |\




OR
oral doxycycline 100mg PO twice/day x 7days
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What are the perinatal impacts of chlamydia? does it cross the
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placenta? - CORRECT ANSWERS ✔✔*does NOT cross placenta*
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chlamydial conjunctivitis |\




-watery to purulent discharge
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-untreated leads to corneal and conjunctival scarring
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-incubates for 5-14 days after birth
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chlamydial pneumonitis |\




-5-30% can develop pneumonia
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-presents at 4-12 weeks of age
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-can be fatal
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What is the treatment for gonorrhea? - CORRECT ANSWERS
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✔✔dual therapy is recommended & cefiximine is no longer
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recommended