Rasmussen MDC III - Exam 1 Written
Questions & Answers.
▪ chancre
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes - CORRECT ANSWER S/S: *Syphilis*
C. Syphilis - CORRECT ANSWER 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
Primary syphilis - CORRECT ANSWER 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 ANSWER 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 ANSWER Treatment:
*Syphilis*
Azithromycin single dose 1 g IM - CORRECT ANSWER Treatment: *Chlamydia*
▪ *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 ANSWER 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 - CORRECT ANSWER Prevention: *Vulvovaginitis*
▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
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