Author Question: Which patient is at greatest risk for developing Chlamydia trachomatis infection? 1. 16-year-old, ... (Read 78 times)

Mr. Wonderful · **on:** Jun 28, 2018

Which patient is at greatest risk for developing Chlamydia trachomatis infection?

1. 16-year-old, sexually active, using no contraceptive
2. 22-year-old mother of two, developed dyspareunia
3. 35-year-old woman on oral contraceptives
4. 48-year-old woman with hot flashes and night sweats

Question 2

The nurse is planning a group session for parents who are beginning infertility evaluation. Which statement should be included in this session?

1. Infertility can be stressful for a marriage.
2. The doctor will be able to tell why you have not conceived.
3. Your insurance will pay for the infertility treatments.
4. Keep communicating with one another through this process.
5. Taking a vacation usually results in pregnancy.

lindahyatt42 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Teens have the highest incidence of sexually transmitted infections, especially Chlamydia. A patient not using contraceptives is not using condoms, which decrease the risk of contracting a STI.
Rationale 2: Dyspareunia sometimes develops with Chlamydia infection, but dyspareunia is not a symptom specific to Chlamydia.
Rationale 3: There is no correlation between oral contraceptive use and an increased rate of Chlamydia infection. Additionally, Chlamydia is more commonly seen in young women
Rationale 4: This patient is experiencing signs of menopause, not Chlamydia infection.

Answer to Question 2

Correct Answer: 1,4
Rationale 1: Infertility is often stressful on a marriage, as a result of the need to schedule intercourse and pay for treatments and the societal expectation to have children.
Rationale 2: Some infertility cannot be explained, despite extensive treatments.
Rationale 3: Insurance often does not pay for infertility treatment.
Rationale 4: Communication is important to help cope with stress. A nurse should always encourage patients to ask questions.
Rationale 5: A common myth is that taking a vacation or just relaxing will result in conception.