TRINITY UNIVERSITY OF ASIA

ST. LUKE’S COLLEGE OF NURSING

FINAL EXAM

Q1. WHAT SHOULD YOU TEACH AP ABOUT CHLAMYDIAL INFECTION?

ANSWER:

A. Explain mode of transmission, complications, and the risk for other STD’s.

B. Explain the treatment regimen to patient and advise her of adverse effects.

C. Teach about all STD’s and their symptoms. D. Advice abstinence from sexual intercourse until
treatment has been completed.

E. Explain that the partner is treated at the same time; recent partners should receive treatment despite
lack of symptoms and negative Chlamydia result.

F. Encourage abstinence, monogamy, or safer sex methods, such as female or male condom.

H. Stress the importance of follow-up examination and testing to eradication of infection. Recurrence
rates are highest in young patients.

Q2. WHAT MEDICAL INTERVENTIONS CAN YOU ANTICIPATE?

ANSWER:

- Antibiotics will cure the infection. Since AP is not pregnant, the doctor will prescribe oral antibiotics. A
single dose of azithromycin or taking doxycycline twice daily for 7 to 14 days are the most common
treatments. With treatment, the infection should clear up in about a week. Do not have sex for at least 7
days until you have taken all of your medication, and do not stop taking the antibiotics even if you feel
better.

Q3. AP SAYS SHE DOES NOT UNDERSTAND WHY HER PARTNERS HAVE TO BE TOLD ABOUT THE
INFECTION. HOW WOULD YOU RESPOND?

-By explaining to the patient the importance of contact tracing to prevent and control chlamydia
through early detection and treatment of asymptomatic infection and to reduce onward transmission to
sexual partners and by preventing the consequences of untreated infection.
Q4. BASED ON THE INFORMATION AP HAS GIVEN YOU, YOU DETERMINE THAT SHE IS AT RISK FOR
OTHER STI’S AND UNPLANNED PREGNANCY. WHAT RISK ASSESSMENT QUESTIONS DO YOU NEED TO
ASK AP?

1. Have you been vaccinated for hepatitis a and hepatitis b?

2. Have you been tested for hiv?

3. Have you ever injected drugs or anything else, such as hormones, steroids, or non-prescription
medications?

4. Have you ever shared needles and/or other injection equipment?

5. These questions have focused on the highest risk behaviors. What questions or concerns do you have
about these or other risk behaviors?