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
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