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 Answer: 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 Answer: 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 Answer: Secondary syphilis
Treatment: *Syphilis* Correct Answer: ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* Correct Answer: Azithromycin single dose 1 g IM
Patient Education: *Chlamydia* Correct Answer: ▪ *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*
(SATA?) Correct Answer: • 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?
(SATA?) Correct Answer: ▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene
S/S: *BPH* Correct Answer: ▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
▪ diminished force of urinary stream
▪ urinary hesitancy
▪ urinary frequency
▪ urinary urgency
▪ urinary retention
▪ incontinence
▪ incomplete emptying of the bladder
▪ **dribbling post-voiding**
▪ nocturia
▪ hematuria
▪ straining with urination
▪ obstruction of urine flow
**presents as a uniform, elastic non-tender enlargement**
Pharmaceutical Treatment: *BPH* Correct Answer: alpha-1 blockers (doxazosin) - better for patients
with hypertension too
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £12.24. You're not tied to anything after your purchase.
