A. A male (John), 24 years of age presents to
A. A male (John), 24 years of age presents to the STI clinic. He complains of a burning and sore sensation upon urination, along with discharge from his penis that has a mucopurulent consistency and is green, yellow in color. In the preceding two weeks, he has had unprotected sex with numerous partners. Vital Signs – Temp 101.6°F, Pulse 72, Resp 16, BP 186/102, pO2 94%, Ht 5ʹ6″, Wt 65 kg
1. What medical and sexual history would be appropriate to gather for data collection?
2. What could be a potential infectious cause?
3. Discuss which laboratory and diagnostic test would be necessary?
4. Which sexually transmitted disease is likely to be diagnosed?
5. Which medications would be ordered?
6. What nursing intervention would be necessary?
7. What education would be necessary?
8. What are the potential complications associated with untreated STIs?
B. The nurse knows that his sexual partners must be treated:
1. How would the nurse convince him to reveal his other sexual partners?
2. How would the nurse convince John’s sexual partners to be tested and treated?
3. What nursing intervention would be necessary for everyone involved?
4. What education would be necessary?
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