The nurse instructs an adolescent on preventing the sexually ...

[vinney12]

The nurse instructs an adolescent on preventing the sexually transmitted infection syphilis. Which statement indicates that teaching about the spread of the infection has been effective?
 
  A) In the future, I'll void immediately after sex to prevent this..
  B) Next time, I'll be smart enough to look at my partner to see if he has any sores..
  C) I'm lucky I got this early in life. Now, I don't have to worry about getting it again..
  D) Can't I be prescribed birth control pills so I'll have some protection from getting this again?

Question 2

An adolescent female is concerned about developing toxic shock syndrome. What teaching can the nurse provide to allay this patient's fears about the disorder? (Select all that apply.)
 
  A) Avoid feminine hygiene sprays.
  B) Change tampons at least every 4 hours.
  C) Take acetaminophen (Tylenol) should a fever occur during menstruation.
  D) Use the largest absorbency tampon possible adequate for the menstrual flow.
  E) Tampons are to be avoided for 1 month after treatment for toxic shock syndrome.

[Chelseyj.hasty]

Answer to Question 1

B
Feedback:
Syphilis is a systemic disease transmitted by the spirochete Treponema pallidum. After an incubation period of 10 to 90 days, a deep ulcer called a chancre, usually painless despite its size, appears on the genitalia or in the vagina, on the mouth, lips, or rectal area from oralgenital or genitalanal contact. Voiding after sex will not prevent the transmission of syphilis. The disease can be transmitted at any time. Immunity does not develop to syphilis. Birth control pills do not protect from the transmission of syphilis.

Answer to Question 2

A, B
Feedback:
Measures to prevent toxic shock syndrome include avoiding feminine hygiene sprays because these products can irritate the vaginal lining. Tampons should be changed at least every 4 hours. If a fever occurs during menstruation, the tampon should be removed and seek medical attention. A fever is a manifestation of toxic shock syndrome. The lowest absorbency tampon possible should be used. Anyone who has had an episode of toxic shock syndrome is advised to avoid all future tampon use.