NURS 3450 ALG 2

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What is the primary goal of routine screening for gonorrheal and chlamydial infections in women with risky behaviors or specific risk factors?

Detection of asymptomatic infections

What is the recommended testing protocol for women diagnosed with PID?

Testing for gonorrhea, chlamydia, HIV, and syphilis

What is the primary consideration for women with PID during the acute phase of the disease?

Minimizing pelvic examinations

What is the significance of follow-up laboratory work after treatment for PID?

To confirm a test of cure through endocervical cultures Signup and view all the answers

What counseling is essential for women with a history of PID?

Contraceptive counseling and refraining from sexual intercourse until treatment is complete Signup and view all the answers

What is the potential psychological impact of PID on a woman's self-concept?

Devastating and potentially affecting self-concept Signup and view all the answers

What is the role of health education in the effective management of PID?

Central to effective management, emphasizing compliance with therapy and prevention recommendations Signup and view all the answers

What is the significance of antibiotic treatment in PID, despite the infectious organism?

Broad-spectrum antibiotics are generally used Signup and view all the answers

What is the recommended treatment duration for trichomoniasis?

7 days Signup and view all the answers

Why is it essential to treat the male partner in trichomoniasis?

Because they often harbor the trichomonads in the urethra or prostate Signup and view all the answers

What is the consequence of not treating sexual partners in trichomoniasis?

Reinfection Signup and view all the answers

What is the primary mechanism causing the alteration of vaginal pH in bacterial vaginosis?

The replacement of lactobacilli with anaerobic bacteria Signup and view all the answers

What is the significance of clue cells in the diagnosis of bacterial vaginosis?

They are a characteristic finding in BV, indicating the presence of numerous bacteria attached to epithelial cells Signup and view all the answers

Why may the odor associated with bacterial vaginosis become more noticeable after heterosexual intercourse?

Semen releases the vaginal amines, making the odor more noticeable Signup and view all the answers

What is the purpose of microscopic examination of vaginal secretions in bacterial vaginosis?

To confirm the diagnosis by identifying characteristic features such as clue cells Signup and view all the answers

Why is counseling essential in the management of trichomoniasis?

To educate women on the importance of partner treatment and the sexual transmission of the disease Signup and view all the answers

What is a significant risk factor for osteoporosis, in addition to long-term or frequent steroid therapy and disorders such as hypogonadism, hyperthyroidism, and diabetes mellitus?

Hormone therapy Signup and view all the answers

What is the primary consideration for women who are taking hormone therapy (HT) for short-term relief of menopausal discomforts, without increased risks for cardiovascular disease?

The benefits may outweigh the risks. Signup and view all the answers

What is the recommended approach to discontinuing hormone therapy (HT) according to the North American Menopause Society (NAMS)?

No specific recommendation Signup and view all the answers

What is the primary counsel for older women who are taking or considering hormone therapy (HT) only for the prevention of cardiovascular disease?

Other methods to reduce their risks of cardiovascular disease. Signup and view all the answers

What is the primary consideration for women who are taking hormone therapy (HT) for the prevention of osteoporosis or other chronic conditions?

Personal risks and benefits in continuing the therapy. Signup and view all the answers

What is the alternative approach for women who are taking hormone therapy (HT) for the prevention of osteoporosis or other chronic conditions?

Effective alternatives for long-term prevention. Signup and view all the answers

What is the ongoing research focus in relation to hormone therapy (HT) for younger, more recently menopausal women?

Beneficial cardiovascular effects Signup and view all the answers

What is the primary goal of educating patients about hormone therapy (HT), according to the text?

To assist women in making decisions regarding HT use. Signup and view all the answers

What should be suspected and treated in pregnant women alongside ceftriaxone?

Chlamydia Signup and view all the answers

What are the potential risks associated with gentamicin use during pregnancy?

Teratogenic effects, nephrotoxicity, or ototoxicity Signup and view all the answers

What should be offered to clients who are negative for HIV?

HIV PrEP Signup and view all the answers

What is the recommended duration of abstinence from sexual activity after treatment?

7 days Signup and view all the answers

What is the primary reason for treatment failures?

Reinfection Signup and view all the answers

What should be performed on recent sexual partners of a woman diagnosed with a gonorrheal infection?

Examination and treatment with appropriate regimens if positive for gonorrhea Signup and view all the answers

What counseling should women receive to address disease transmission?

Counseling on using condoms with sexual intercourse Signup and view all the answers

What stages of syphilis may cause skin rashes and/or sores in the mouth, vagina, or anus?

Secondary stage Signup and view all the answers

What are the barriers to using HPV screening modalities in certain communities?

Limited access in rural and underresourced communities and communities of color, limited availability of FDA-approved tests, and laboratory restrictions. Signup and view all the answers

At what age does the American Cancer Society (ACS) recommend initiating HPV screening?

25 years Signup and view all the answers

What is the importance of counseling women with HPV about the transmission of the virus?

To understand how the virus is transmitted, that no immunity is conferred with infection, and that reacquisition of the infection is likely with repeated contact. Signup and view all the answers

Why is it essential to encourage women with multiple sexual partners to use latex condoms?

To decrease the risk of acquisition or transmission of genital HPV. Signup and view all the answers

What should women be informed about before treatment for HPV-related conditions?

The possibility of posttreatment pain associated with specific therapies and the importance of thorough treatment of concurrent vaginitis or a coexisting STI. Signup and view all the answers

Why is it important to emphasize the importance of treating concurrent vaginitis or a coexisting STI?

To ensure thorough treatment of all conditions related to HPV infection. Signup and view all the answers

What is the role of client counseling in the management of HPV?

To reduce the prevalence of HPV and to improve the management of HPV in women who are infected. Signup and view all the answers

Why is it important to inform women that they may not be able to determine when they acquired HPV?

Because genital warts can develop months or years after acquiring the virus. Signup and view all the answers