A 22-year-old patient comes to the clinic for an annual physical examination and renewal of her oral contraceptive prescription. She tests positive for Chlamydia and becomes very upset when informed of this. How would you manage this situation?
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A 22-year-old patient comes to the clinic for an annual physical examination and
renewal of her oral contraceptive prescription. She tests positive for Chlamydia and
becomes very upset when informed of this. How would you manage this situation?
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- Your 30-year old patient reports having several recent experiences of unprotected sex and reports genital itching and discharge. What condition(s) might you suspect? What are risk factors for this condition? What further assessment should be performed? What patient education would you provide if your suspected diagnosis is confirmed?A 19 year-old nulligravida female presents for the treatment of chronic pelvic pain. She reports having taken combination oral contraceptives for the past 4 years as prescribed by her health care provider to treat dysmenorrhea. Up until now, she only experienced pain during menses. Which of the following is the MOST likely cause of the client’s dysmenorrhea? Question 29 options: a) Endometriosis b) Polycystic ovarian syndrome c) Urinary tract infection d) Ectopic pregnancyA 27-year old student started to receive combination therapy for tuberculosis. Which of the following would interfere with her use of contraceptives? Isoniazid Rifampin Ethambutol Pyrazinamide
- A postpartum woman has been told her new born is G6PD positive. What advice would you give her as a nurse on how to take care of this child.A 16-year-old female visits a local women’s health clinic toobtain contraception. She asks the nurse, “What can I do to protect myself from diseases like AIDS?” Which recommen-dations are appropriate for anyone who is sexually active to prevent STIs? Select all that apply.a. Have regular checkups for STIs even in the absence ofsymptoms.b. Learn the common symptoms of STIs and seek helpimmediately if any develop—even if the symptom is mild.c. If a partner is infected, consider having sex duringmenstruation when the risk is greatly decreased.d. Douche regularly to remove any bacteria that may form inthe vagina.e. Avoid anal intercourse, but if practiced, use a malecondom.15-year-old girl comes to the physician because of pelvic pain. She has never had a menstrual period; however, she develops crampy lower abdominal pain every 28 days that resolves in a day or two. On physical examination, the patient at the 60th percentile for height, 70th percentile for weight, and has fully developed secondary sexual characteristics. Rectal examination reveals a palpable mass anterior to the rectum. Serum β-hCG is negative. Which of the following is the most likely diagnosis in this patient? A.Endometriosis B.Ectopic pregnancy C.Hyperprolactinemia D.Imperforate hymen E.Kallmann syndrome F.Testicular feminization syndrome G.Turner syndrome
- Situation: sixteen-year-old Maria has come to the Barangay Coconut Community Health Clinic for a pelvic examination and Pap smear. During the assessment interview, Maria states that she is sexually active. She and her boyfriend sometimes use condom. She doesn’t want to take any pill or medicine because she can’t afford it and she’s afraid her parents will find out that she’s having sex. Cervical caps like diaphragms must be fitted individually by a health care provider but you must consider contraindications. Caps are contraindicated in which of the ff; SELECT ALL THAT APPLY With allergy to latex With history of gonorrhea With allergies to spermicide and oil sprays History of cervical cancerWhen teaching a patient who is taking oral contraceptive therapy for the first time, the nurse relates that adverse effects may include which of the following? a )Dizzinessb )Nauseac )Tingling in the extremitiesd )PolyuriaWhich of the following statements, if identified by the nursing student, would specify that teaching about cervical mucus changes as an sign for ovulation has been understood? If my cervical mucus is thick and white, I will need to avoid intercourse or use back-up method of contraception. If my cervical mucus is thin and watery, Fam probably fertile 'If my cervical mucus is yellowish and thick, I am probably fertile The thin, dear mucus will block the sperm from getting into my cervix
- A patient has been given a diagnosis of a sexually transmitted infection. What discharge instructions are you going to discuss with this patient?A friend of yours who is engaged in promiscuous activities showed early signs and symptoms of Human Immunodeficiency Virus(HIV) what will you tell him/her?You are working as a relief pharmacist in a community pharmacy. You notice that Christie, the 17-year-old daughter of a very close family friend, is receiving prescriptions for oral contraceptives and for the treatment of a sexually transmitted disease (STD). Apparently, Christie has been hanging out with a group of students whom her parents disapprove of and have forbidden her to see. You are very concerned about Christie and wonder whether her use of oral contraceptives may lead her to forego the use of condoms that could offer protection from STDS. When Christie enters the pharmacy to pick up her prescriptions, she becomes upset at seeing you and hurries out, refusing to talk to you. You know that if you were in her parents' shoes, you would want to know about the prescriptions. You are convinced that Christie is in trouble and needs the help of her family. QUESTION: What alternative would choose and why and How would you proceed in carrying out your decision?