A 32-year-old woman who is diagnosed with Chlamydia tells the ...

[mckennatimberlake]

A 32-year-old woman who is diagnosed with Chlamydia tells the nurse that she is very angry because her husband is her only sexual partner. Which response should the nurse make first?
 
  a. You may need professional counseling to help resolve your anger.
  b. It is understandable that you are angry with your husband right now.
  c. Your feelings are justified and you should share them with your husband.
  d. It is important that both you and your husband be treated for the infection.

Question 2

When a 31-year-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present.
 
  When trying to determine the reason for the recurrent infection, which question is most appropriate for the nurse to ask the patient?
  a. Did you take the prescribed antibiotic for a week?
  b. Did you drink at least 2 quarts of fluids every day?
  c. Were your sexual partners treated with antibiotics?
  d. Do you wash your hands after using the bathroom?

[mcomstock09]

Answer to Question 1

ANS: B
This response expresses the nurse's acceptance of the patient's feelings and encourages further discussion and problem solving. The patient may need professional counseling, but more assessment of the patient is needed before making this judgment. The nurse should also assess further before suggesting that the patient share her feelings with the husband because problems such as abuse might be present in the relationship. Although it is important that both partners be treated, the patient's current anger suggests that this is not the appropriate time to bring this up.

Answer to Question 2

ANS: C
A common reason for recurrence of symptoms is reinfection because infected partners have not been simultaneously treated. Because gonorrhea is treated with one dose of antibiotic, antibiotic therapy for a week is not needed. An adequate fluid intake is important, but a low fluid intake is not a likely cause for failed treatment. Poor hygiene may cause complications such as ocular trachoma but will not cause a failure of treatment.

[mckennatimberlake]

Excellent

[nguyenhoanhat]

Gracias!