NUR 2502 Multidimensional Care III

Rasmussen MDC III - Exam 1

50 Qs - 2 dose calc, 6 SATA

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S/S: Syphilis

- ▪ Chancre

▪ Fever

▪ Headache

▪ Muscle aches

▪ Rash

Late:

▪ Organ failure

▪ Blindness

▪ Neuro changes

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?

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A. HIV

B. HPV

C. Syphilis

D. Gonorrhea

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

- 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

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- Secondary syphilis

Treatment: Syphilis

- ▪ Penicillin G

▪ What do you ask before giving? "Do you have any allergies?"

Treatment: Chlamydia

- Azithromycin single dose 1 g IM

Patient Education: 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.

Prevention: Vulvovaginitis

(SATA?)

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- • 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?)

- ▪ Iron levels

▪ CBC (H&H)

▪ Hormone levels

▪ Low blood pressure

S/S:

▪ Dizziness

▪ Weakness

▪ Fatigue

▪ SOB

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Patient Education: Urinary Incontinence

(SATA?)

- ▪ Kegel exercises

▪ Bladder training

▪ No drinking after 5pm or 6pm

▪ Avoid foods or drinks with caffeine

▪ Skin care

▪ Proper hygiene

Pharmaceutical Treatment: BPH

- Alpha-1 blockers (doxazosin) - better for patients with hypertension too

What medications should patients with BPH avoid?

- Anticholinergics

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