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A. A 32-year-old female, Alice presents to the emergency room with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago and she notice she has lost 5lbs. She thought she had the flu, so she didn’t bother until her lymph nodes started hurting. She has begun to have Left Lower Quadrant pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. Alice states she is worried she would be diagnosed with a terrible disease. Labs: WBC 18000, Hemoglobin 16, Hematocrit 44, Platelet 325, sedimentation rate 46 mm/hr, Comprehensive metabolic panel is within normal limits Vital signs: Temp 103.2 F, Pulse 120, Resp 22, PaO2 99% on room air.

 

        1. What medical and sexual history would be appropriate to gather for data collection?

 

        2. Interpret and discuss the laboratory results.

 

        3. Interpret and discuss the vital signs.

 

        4. Which other diagnostic tests would be necessary?

 

        5. Which sexually transmitted disease is likely to be diagnosed?

 

        6. Which medications would be ordered?

 

        7. What nursing care and intervention would be necessary? 

 

        8. What are the potential complications associated with untreated STIs?

 

 B. The nurse calls Alice husband to come to the clinic because she is uncomfortable discussing the diagnosis with the husband.

 

       1. How would the nurse break the news to Alice husband? 

       

       2. How would the nurse convince Alice husband to get tested? 

 

       3. What nursing intervention would be necessary for the couple?

 

       4. What education would be necessary?

SCIENCE
HEALTH SCIENCE
NURSING
EE BIOL MISC