▪ chancre
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes correct answers S/S: *Syphilis*
whats a late sign of prostate cancer? correct answers hematuria
self breast exams correct answers -laying down to spread the breast tissue evenly
-check axillae
a patient undergoing hysterectomy for endometrial cancer... correct answers 2-6 weeks they
should refrain from strenuous activity
most common cause of chronic pyelonephritis.. correct answers upper UTIs and continuous UTIs
acute pyelonephritis symptoms correct answers fever, burning, frequency of urination, flank
pain, abdominal discomfort
what client is at risk of developing genital warts... correct answers patient with recent diagnosis
of HPV
a patient has heavy menstrual bleeding. what testing would be completed? correct answers
complete blood count to determine if they are anemic
a patient over 40 has questions about breast cancer. what are screening recommendations?
correct answers mammogram (annually to begin at 45)
what would make mammograms difficult? correct answers fibrocystic breast disease
a woman shows a positive mammogram. what test would be performed next? correct answers an
ultrasound to determine if it is fluid filled--> biopsy would be completed if it was a mass(not
fluid filled)
staging of breast cancer correct answers a cancerous tumor that hasn't invaded would be a stage
1, stage 3 or 4 if the cancer has spread outside the area (metastatic cancer)
whats the most common cause of cervical cancer? correct answers HPV
,when does screening begin for cervical cancer? correct answers Pap smear to begin at 21 years
old, to look for differentiated cells
C. Syphilis correct answers 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
gonorrhea laryngitis correct answers can occur in the throat since it transmits through mucus
membranes
gonorrhea assessment findings correct answers -fever
-penile or vaginal discharge
-penile edema
-dysuria
-anal itching, irritation, bleeding
-painful defacation
-ulcerated lips
-tender gingivae
diagnosis of gonorrhea correct answers -molecular testing
-NAAT
-urine culture
-vaginal culture
Primary syphilis correct answers 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
Secondary syphilis correct answers 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
▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?" correct answers Treatment:
*Syphilis*
Azithromycin single dose 1 g IM correct answers Treatment: *Chlamydia*
, chlamydia assessment findings correct answers -pelvic or abdominal pain
-dysuria
-scrotal pain
-pruitus
-breakthrough bleeding
-woman have purulent discharge
▪ *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. correct answers Patient
Education: *Chlamydia*
• 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
• Avoid baths/ hot tubs
• Practice safer sex correct answers Prevention: *Vulvovaginitis*
(SATA?)
▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB correct answers Patient has heavy vaginal bleeding - What are you checking and what
manifestations do you expect?
(SATA?)
▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene correct answers Patient Education: *Urinary Incontinence*
(SATA?)