Author Question: A patient admitted with chest pain is also found to have positive Venereal Disease Research ... (Read 139 times)

Sportsfan2111 · **on:** Jun 25, 2018

A patient admitted with chest pain is also found to have positive Venereal Disease Research Laboratory (VDRL) and

fluorescent treponemal antibody absorption (FAT-Abs) tests, rashes on the palms and the soles of the feet, and moist papules in the anal and vulvar area. Which action will the nurse include in the plan of care?
a. Assess for arterial aneurysms.
b. Wear gloves for patient contact.
c. Place the patient in a private room.
d. Apply antibiotic ointment to the perineum.

Question 2

A 48-year-old male patient who has been diagnosed with gonococcal urethritis tells the nurse he had recent sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the nurse explains that

a. women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.
b. women may not be aware they have gonorrhea because they often do not have symptoms of infection.
c. women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical manifestations.
d. when gonorrhea infections occur in women, the disease affects only the ovaries and not the genital organs.

johnharpe · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Exudate from any lesions with syphilis is highly contagious. Systemic antibiotics, rather than local treatment of lesions, are used to treat syphilis. The patient does not require a private room because the disease is spread through contact with the lesions. This patient has clinical manifestations of secondary syphilis and does not need to be monitored for manifestations of tertiary syphilis.

Answer to Question 2

ANS: B
Many women with gonorrhea are asymptomatic or have minor symptoms that are overlooked. The disease may affect both the genitals and the other reproductive organs and cause complications such as pelvic inflammatory disease (PID). Women who can transmit the disease have active infections.