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Questions and Answers
A client tests positive for Chlamydia trachomatis during a routine prenatal screening. Which medication would the nurse anticipate the healthcare provider prescribing?
A client tests positive for Chlamydia trachomatis during a routine prenatal screening. Which medication would the nurse anticipate the healthcare provider prescribing?
- Topical acyclovir
- Oral fluconazole
- Single-dose azithromycin (correct)
- Intramuscular ceftriaxone
A client diagnosed with gonorrhea is also being evaluated for other sexually transmitted infections. Which concurrent infection is most important for the nurse to assess?
A client diagnosed with gonorrhea is also being evaluated for other sexually transmitted infections. Which concurrent infection is most important for the nurse to assess?
- Trichomoniasis
- Chlamydia (correct)
- Hepatitis B
- Syphilis
A nurse is educating a group of college students about preventing sexually transmitted infections. Which statement indicates an understanding of how to prevent Chlamydia and Gonorrhea?
A nurse is educating a group of college students about preventing sexually transmitted infections. Which statement indicates an understanding of how to prevent Chlamydia and Gonorrhea?
- “I don’t need to worry if my partner doesn’t have symptoms.”
- “Birth control pills protect me from STIs.”
- “I should get tested once a year for STIs.”
- “Using condoms consistently reduces my risk of infection.” (correct)
A client is diagnosed with pelvic inflammatory disease (PID) secondary to untreated gonorrhea. What is the priority nursing intervention when caring for this patient?
A client is diagnosed with pelvic inflammatory disease (PID) secondary to untreated gonorrhea. What is the priority nursing intervention when caring for this patient?
A male client reports dysuria and penile discharge. A Gram stain smear identifies Gram-negative intracellular diplococci. These findings are most consistent with which condition?
A male client reports dysuria and penile discharge. A Gram stain smear identifies Gram-negative intracellular diplococci. These findings are most consistent with which condition?
A pregnant client is diagnosed with untreated chlamydia. The nurse recognizes that this infection poses the greatest risk for which complication?
A pregnant client is diagnosed with untreated chlamydia. The nurse recognizes that this infection poses the greatest risk for which complication?
A client being treated for gonorrhea asks the nurse how long they need to abstain from sexual intercourse. What is the most appropriate response?
A client being treated for gonorrhea asks the nurse how long they need to abstain from sexual intercourse. What is the most appropriate response?
A nurse is reviewing the discharge instructions with a client treated for pelvic inflammatory disease (PID) secondary to gonorrhea. Which statement by the client indicates a need for further teaching?
A nurse is reviewing the discharge instructions with a client treated for pelvic inflammatory disease (PID) secondary to gonorrhea. Which statement by the client indicates a need for further teaching?
A nurse is caring for a newborn whose mother has untreated gonorrhea. Which assessment finding would the nurse prioritize?
A nurse is caring for a newborn whose mother has untreated gonorrhea. Which assessment finding would the nurse prioritize?
A client reports being allergic to penicillin. Which alternative medication might the nurse anticipate being prescribed for the treatment of gonorrhea?
A client reports being allergic to penicillin. Which alternative medication might the nurse anticipate being prescribed for the treatment of gonorrhea?
Flashcards
Chlamydia and Gonorrhea: Overview
Chlamydia and Gonorrhea: Overview
Chlamydia and gonorrhea are common sexually transmitted infections (STIs) that can cause serious complications if left untreated, especially in women.
Chlamydia: Signs and Symptoms
Chlamydia: Signs and Symptoms
Often asymptomatic, especially in women. Symptoms, when present, may include dysuria, abnormal vaginal discharge, or pelvic pain (in women) and penile discharge, dysuria, or testicular pain (in men).
Gonorrhea: Signs and Symptoms
Gonorrhea: Signs and Symptoms
Often asymptomatic in women; symptoms may include increased vaginal discharge, dysuria, and vaginal bleeding between periods. In men, symptoms may include penile discharge, dysuria, and testicular pain.
Chlamydia and Gonorrhea: Diagnosis
Chlamydia and Gonorrhea: Diagnosis
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Chlamydia and Gonorrhea: Treatment
Chlamydia and Gonorrhea: Treatment
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Chlamydia & Gonorrhea: Complications
Chlamydia & Gonorrhea: Complications
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Chlamydia and Gonorrhea: Prevention
Chlamydia and Gonorrhea: Prevention
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Patient Education: STIs
Patient Education: STIs
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Reporting Requirements: STIs
Reporting Requirements: STIs
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Study Notes
- Chlamydia and Gonorrhea: Overview
- Chlamydia and gonorrhea are common sexually transmitted infections (STIs) caused by bacteria
- These infections often occur together and share similar risk factors, symptoms, and complications
- Both can be easily treated with antibiotics, but if left untreated, they can lead to serious health problems, especially in women
Chlamydia
- Etiology and Transmission
- Chlamydia is caused by the bacterium Chlamydia trachomatis
- It is transmitted through vaginal, anal, or oral sex with an infected person
- Mothers can also pass the infection to their babies during childbirth
- Signs and Symptoms
- Most people with chlamydia are asymptomatic, meaning they don't experience any symptoms
- When symptoms do occur, they can include:
- In women: abnormal vaginal discharge, burning sensation during urination, lower abdominal pain, and bleeding between periods
- In men: penile discharge, burning sensation during urination, and testicular pain
- Diagnostic Tests
- Nucleic acid amplification tests (NAATs) are the most sensitive and specific tests for detecting chlamydia
- Samples can be collected from urine or genital swabs
- Screening is recommended annually for all sexually active women aged 25 and younger, as well as older women with risk factors (e.g., new or multiple sex partners)
- Treatment
- Chlamydia is typically treated with a single dose of azithromycin or a course of doxycycline
- All sex partners should also be treated to prevent reinfection and further spread of the infection
- Patients should abstain from sexual activity until they and their partners have completed treatment and are symptom-free
- Complications
- Untreated chlamydia can lead to:
- In women: pelvic inflammatory disease (PID), ectopic pregnancy, infertility, and chronic pelvic pain
- In men: epididymitis (inflammation of the epididymis), which can lead to infertility in rare cases
- Both men and women: reactive arthritis
- Untreated chlamydia can lead to:
Gonorrhea
- Etiology and Transmission
- Gonorrhea is caused by the bacterium Neisseria gonorrhoeae
- It is transmitted through vaginal, anal, or oral sex with an infected person
- Mothers can also pass the infection to their babies during childbirth
- Signs and Symptoms
- Like chlamydia, many people with gonorrhea are asymptomatic
- When symptoms do occur, they can include:
- In women: increased vaginal discharge, burning sensation during urination, vaginal bleeding between periods, and abdominal pain
- In men: penile discharge (often thick and yellow or green), burning sensation during urination, and testicular pain
- Diagnostic Tests
- NAATs are also used to diagnose gonorrhea, with samples collected from urine or genital swabs
- Gram stain of discharge can provide a rapid presumptive diagnosis in symptomatic men
- Screening recommendations are similar to those for chlamydia
- Treatment
- Gonorrhea is treated with antibiotics, but antibiotic resistance is an increasing concern
- Current CDC guidelines recommend dual therapy with ceftriaxone (given as an injection) and azithromycin (given orally) to combat resistance
- All sex partners should be treated
- Patients should abstain from sexual activity until they and their partners have completed treatment and are symptom-free
- Complications
- Untreated gonorrhea can lead to complications similar to those of chlamydia, including:
- In women: PID, ectopic pregnancy, infertility, and chronic pelvic pain
- In men: epididymitis, which can lead to infertility in rare cases
- Both men and women: disseminated gonococcal infection (DGI), a rare but serious condition that can affect the joints, skin, and heart
- Untreated gonorrhea can lead to complications similar to those of chlamydia, including:
Nursing Management
- Assessment
- Obtain a thorough sexual history, including number of partners, condom use, and history of STIs
- Assess for signs and symptoms of chlamydia and gonorrhea
- Perform or assist with specimen collection for diagnostic testing
- Interventions
- Administer antibiotics as prescribed and educate patients about the importance of completing the full course of treatment
- Provide education about safe sex practices, including consistent condom use
- Emphasize the importance of partner notification and treatment to prevent reinfection and further spread of STIs
- Counsel patients about the potential complications of untreated chlamydia and gonorrhea
- Provide emotional support and address any concerns or questions patients may have
- Education
- Educate patients about the signs and symptoms of chlamydia and gonorrhea and when to seek medical attention
- Explain the importance of regular screening for STIs, especially for sexually active individuals at high risk
- Reinforce the importance of abstinence from sexual activity until treatment is completed and symptoms have resolved
- Discuss the potential impact of STIs on fertility and reproductive health
- Prevention
- Promote the use of condoms during sexual activity
- Encourage open communication between partners about sexual health
- Support public health initiatives aimed at increasing awareness and screening for STIs
- Advocate for access to affordable and confidential STI testing and treatment services
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