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 - 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 -
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 - Answer>>
Secondary syphilis
Treatment: *Syphilis* - Answer>> ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* - Answer>> Azithromycin single
dose 1 g IM
Patient Education: *Chlamydia* - 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* - 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? - Answer>> ▪ iron
levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
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