A 29-year-old female patient is diagnosed with Chlamydia during a ...

[jasdeep_brar]

A 29-year-old female patient is diagnosed with Chlamydia during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says which of the following?
 
  a. My partner will need to take antibiotics at the same time I do.
  b. Go ahead and give me the antibiotic injection, so I will be cured.
  c. I will use condoms during sex until I finish taking all the antibiotics.
  d. I do not plan on having children, so treating the infection is not important.

Question 2

A 55-year-old woman in the sexually transmitted infection (STI) clinic tells the nurse that she is concerned she may have been exposed to gonorrhea by her partner. To determine whether the patient has gonorrhea, the nurse will plan to
 
  a. interview the patient about symptoms of gonorrhea.
  b. take a sample of cervical discharge for Gram staining.
  c. draw a blood specimen or rapid plasma reagin (RPR) testing.
  d. obtain secretions for a nucleic acid amplification test (NAAT).

[duke02]

Answer to Question 1

ANS: A
Sex partners should be treated simultaneously to prevent reinfection. Chlamydia is treated with oral antibiotics. Abstinence from sexual intercourse is recommended for 7 days after treatment, and condoms should be recommended during all sexual contacts to prevent infection. Chronic pelvic pain, as well as infertility, can result from untreated Chlamydia.

Answer to Question 2

ANS: D
NAAT has a high sensitivity (similar to a culture) for gonorrhea. Because women have few symptoms of gonorrhea, asking the patient about symptoms may not be helpful in making a diagnosis. Smears and Gram staining are not useful because the female genitourinary tract has many normal flora that resemble N. gonorrhoeae. RPR testing is used to detect syphilis.