A female client returned to the clinic with a yellow vaginal ...

[maychende]

A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse that there may be a recurrence of the infection?
 
  a. I did practice abstinence while taking the medication.
  b. I took doxycycline two times a day for a week.
  c. I never told my boyfriend about the infection.
  d. I did drink wine when taking the medication for Chlamydia.

Question 2

A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is best?
 
  a. Encourage the client to have an annual Papanicolaou (Pap) test.
  b. Recommend an over-the-counter wart treatment for genital tissue.
  c. Report the case to the Centers for Disease Control and Prevention (CDC).
  d. Discuss popular options for contraception.

[nixon_s]

Answer to Question 1

ANS: C
There is a good possibility that the boyfriend re-infected the client after the medication regimen was finished. Both the client and the boyfriend need to be treated. The other statements were in compliance with the recommendations of abstinence and the usual medication regimen with doxycycline. Wine should not interfere with the treatment.

Answer to Question 2

ANS: A
An annual Pap test is recommended (due the strong relationship between genital warts and the development of dysplasia of the cervix) until three normal Pap smears are obtained. The Pap smear can detect any malignancies of the cervix. Prescribed cream or gel such as podofilox (Condylox) is the recommended treatment, but not over-the-counter treatments. Genital warts, or condylomata acuminata, do not have to be reported to the CDC in all states. Pregnancy is not contraindicated with genital warts.

[maychende]

Gracias!

[bulacsom]

Excellent