Author Question: A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She ... (Read 78 times)

jwb375 · **on:** Jul 11, 2018

A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate.

After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole (Flagyl) for 7 days. How should the nurse advise the patient?
a.
Avoid alcohol while on Flagyl
b.
Be aware that her urine may turn blue and will stain clothing
c.
Wear snug underwear during treatment
d.
Be aware that she need not notify her sexual partners as trichomoniasis is not contagious

Question 2

The young woman comes to the free clinic for the complaint of stomach cramps. During the examination, the nurse recommends that she be tested for chlamydia.

The woman says I don't need any test...I don't have any symptoms for a sexual infection...I just came for my stomach. Which response is most informative?
a.
Well, if you get more symptoms come back for testing.
b.
The doctor may have to order medicine for syphilis and chlamydia. You probably have that too. You need to be tested today
c.
Testing is not mandatory...I probably wouldn't bother either since you have no symptoms.
d.
That stomachache may be part of a chlamydia infection. Many women do not have a discharge, but are carriers.

shaquita · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A
Alcohol should be avoided as it can cause disorientation, cramps, and possibly convulsions.

Answer to Question 2

ANS: D
Chlamydia frequently displays no signs or symptoms in women. The Centers for Disease Control and Prevention (CDC) recommends an annual screening for all women over 25 who are at risk for STDs.