A man is admitted to the hospital for IV antibiotic therapy related to osteomyelitis. The nurse begins the admission process by taking a detailed history. The nurse asks the patient about his current symptoms and complaints, previous infections, and response to antibiotic therapy. When the nurse asks the patient about any history of sexually transmitted infections, the patient responds, “That’s none of your business.” How should the nurse respond? Why is it important to obtain a history regarding sexually transmitted infections?
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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 sexually active female student presents for evaluation of vaginal discharge; she was last seen for a bacterial sinus infection 14 days ago. She states that the discharge is thick, white, and itchy. She has not noticed an odor, and she denies fevers or chills. Given her most likely diagnosis, which of the following findings do you most expect to find on a physical exam? Answers: A-D A Normal appearing vulva and vaginal mucosa, vaginal secretions with a ph> 4.5 B Diffusely reddened vaginal mucosa with small petechiae in the posterior fornix and copious discharge C Cervical motion tenderness with discharge emanating from the cervical os and bilateral adnexal masses D Inflamed vulva with slightly red vaginal mucosa and discharge adherent to vaginal wallsA second-year medical student is interviewing a patient as part of her physical diagnosis course. The patient is a 45-year-old man with cirrhosis of unknown cause. During the interview, the patient admits that he has been a heavy drinker of alcohol for the past 15 years and physician. Which of the following is the most appropriate action for the student? A) Call the patient's wife and discuss his alcoholism with her B) Keep this information to herself because it was told in confidence C) Put an anonymous note in the medical record because she is not taking care of the patient D) Put a note in the patient's medical record about his alcoholism, and identify herself by signing it E Tell the patient that she would like his permission to inform his attending physician
- In the case of Performing incision and drainage of localized infection; What is informed consent? Does the patient need to sign in for the procedure ? If yes, what is the role of the medical assistant when the patient signs an informed consent form?Is there a legal penalty in Tennessee for assaulting a nurse? What is that penalty? Explain why that penalty is a good preventative measure or why it is not. Provide details to substantiate your stance on the penalty.please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyp
- Patient Profile: Stanley is a college student taking up engineering in one of the university in Metro Manila. He lives alone in the dormitory and his province is Bicol. He was diagnosed of Syphilis. History: -Stanley is a 19-year-old male who presents to the STD clinic because he’s - had a sore on his penis for one week. -Last sexual exposure was three weeks prior, without a condom. -No history of recent travel. -Predominantly female partners (five in the last six months), and occasional male partners (three in the 1-2 years). -Last HIV antibody test (two months prior) was negative. Reports three children with two different women. All children were in the province taking care of by his parents. He is single and always on the go to mingle. Physical Exam: -No oral, perianal, or extra-genital lesions. -Genital exam shows an uncircumcised penis with a lesion on the ventral side near the frenulum. Lesion is red, indurated, clean-based, and non-tender. -Two enlarged tender right…A nurse is assessing a 27-year-old female patient who visitsher gynecologist. The patient tells the nurse that she has beenhaving a vaginal discharge that “smells bad and is green andfoamy.” She also complains of burning upon urination anddyspareunia. What sexually transmitted infection would thenurse suspect?a. Human papillomavirus (HPV)b. Syphilisc. Trichomoniasisd. Herpes simplex virusnote that matches each definition below Chart Note PATIENT NAME: Thomas, Richard MR NUMBER: 551682 EXAMINATION DATE: August 29, 20xx SUBJECTIVE Patient complains of scrotal and genital pain. There is also dysuria often associated with purulent discharge. OBJECTIVE Richard is a sexually active 20-year-old male, who by his own admission, does not routinely use a condom. Physical exam reveals small, palpable lump on the lateral aspect of his left testis. ASSESSMENT Evaluate for gonorrhea. PLAN Culture test for gonorrhea.
- A 45-year-old woman with no significant medical history presents with acute abdominal pain, nausea, and vomiting. She describes the pain as sharp and localized to the right lower quadrant of her abdomen. Her vital signs are stable, but she appears in distress. The nurse must conduct a thorough assessment and collaborate with the healthcare team to determine the cause of her symptoms and plan appropriate interventions. Options: A) Prepare the patient for immediate surgery, suspecting appendicitis. B) Administer pain medication and wait for further diagnostic tests. C) Encourage clear liquid diet and reassess in a few hours. D) Perform a pelvic exam and consider gynecological causes.The patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply Which three techniques would work best to encourage a patient to drink enough water? Only offer water or other clear drink Suggest popular drinks like coffee or soda Place the drink where the client can reach from her bed Ask the client what her favorite drink is Encourage drinks with high sugar content Offer both hot and cold drinksThe patient was admitted straight from her primary care physician's office to the medical floor. She is a 29-year-old woman without a history of chronic illnesses, household medications, or prior surgical procedures. She gave her primary care physician a 4-day history of fever, coughing, and appetite loss. She claims that for the previous two days, she has not eaten or drunk anything. The primary care physician observed that the patient was experiencing dyspnea in the office and proceeded to send the patient by ambulance to the hospital. Select All That Apply What 3 findings indicate fluid volume deficit? Temperature 101° F (38,3°C) Dark, yellow urine Urinated 30 mL Client is awake and alert Blood pressure 115/71 Heart rate 99