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STD
MAMC exam 8 sexually transmitted disease
| Question | Answer |
|---|---|
| define std | infections that are usually transmitted during intimate sexual encounters |
| t/f std can transfer from infected mother to newborn | true |
| t/f std can occur with or without symptoms | true |
| factors contributing to contracting std | uprotected sex premissiveness treatment delay antibiotic resistance |
| examples of stds | aids/hiv gonorrhea syphilis trichomoniasis, hsv venereal warts chlamydia |
| genital herpes | infectious viral disease herpes simplex virus type I & type II |
| is there a cure for genital herpes | no |
| assessment/clinical manifestations for genital herpes | vesicles initial lesions persist for 3-10 days recurrent lesions have a duration of 7-10 days |
| diagnosis for genital herpes | physical exam & patient history culturs |
| medical management for genital herpes | lesions heal spontaneously lidocaine acyCLOVIER valacyCLOVIER famciCLOVIER hygiene loose fitting cotton undergarments frequent sitz baths |
| stages of syphilis | primary secondary latent tertiary |
| lab tests for syphilis | VDRL RPR |
| medical management for syphilis | parenteral benzylpenicillin (penicillin G) |
| how to diagnose gonorrhea | cultures |
| medical management for gonorrhea | ceftriaxone cefixime |
| medical management for trichomoniasis | metronidazole (Flagyl) |
| how to diagnose candidiasis | gram stain |
| medical management for candidiasis | controlling DM d/c antibiotics/oral contraceptives nystatin |
| how to diagnose chlamydia | culture direct fluorescent antibiody (dfa) |
| medical management for chlamydia | tetracycline doxycycline ofloxacin axithromycin erythromycin |
| drug of choice for chlamydia during pregnancy | erythromycin |
| what std is presumed to co-exist with gonorrhea? | chlamydia |
| nursing interventions for genital herpes | keep lesions clean & dry wash hands cotton underwear sitz baths abstain condoms advise partner(s) & HCP stress, nutrition, rest support |
| nursing interventions for syphilis | monitor for drug reaction wash hands follow-up visits |
| nursing interventions for gonorrhea | loose, abosrbent underwear sitz baths avoid infecting partner can result in sterility birth control notify present & past partner |
| nursing interventions for trichomoniasis | avoid alcohol urine may turn dark orange to brown avoid douches, sprays, powders loose-fitting clothing & cotton underwear follow-up care contact partner(s) |
| nursing interventions for candidiasis | medications inform partner(s) treatment hand washing |
| nursing interventions for chlamydia | support |
| why should patients avoid alcohol while taking metronidazole? | alcohol can cause reaction with med such as disorientation, headache, cramps, vomiting, & possible convulsions |
| patient education for stds | number of partners avoid contact hygiene mouthwash/gargle barrier contraceptives water-based lubricant void after intercourse seek treatment avoid excess douching examinations |
| what type of contraceptive might help prevent std? | condom |
Created by:
ealongo
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