STI Worksheet

Infection Organism Bact Transmission Symptoms Tx Testing Precautions

eria Male: Male: Male:
Para Female Female Female
site
Viru
s
Chlamydia

Gonorrhea

Genital Herpes

Genital Warts
(HPV)

Hepatitis B

HIV and AIDS Human Viru Blood Same with Testing is the Testing is the Standard
Immunodeficienc s transmission, men and same with same with Precautions
y virus (Two sexual intercourse women. males and males and do not recap
species of with an infected Seroconversi females. females. needles, do
Lentivirus) partner without on stage: Flu- Enzyme Enzyme not share
protection, like Linked Linked needles,
mother to infant symptoms, Immunosorbe Immunosorbe protected
during childbirth pharyngitis, nt Assay nt Assay sexual
and breastfeeding. fever, rash, (ELISA) (ELISA) intercourse
myalgia (2-6 Testing. If Testing. If
weeks after positive a positive a
exposure) Western Blot Western Blot
AIDS stage- test is used to test is used to
Occurs when confirm. confirm.
T-cell count
less than 200,
opportunistic
 infections
occur.

Pelvic Chlamydia Bact Usually occurs as Only Occurs No highly ceftriaxone 250 Practice safe
Inflammatory trachomatis (CT) eria a result of the in females specific test for mg IM in a sex, limit
Disease (PID) and Neisseria spread of a the disease. single injection number of
gonorrhoeae  sexually transmitt Abnormal Laboratory plus sexual
ed bacteria from cervical or studies that can doxycycline partners,
the vagina to the vaginal be used to 100 mg BID undergo STI
uterus, fallopian mucopurulent support the for 14 days screening
tubes or ovaries discharge, diagnosis with or without regularly
Oral include the metronidazole
temperature erythrocyte 500 mg orally,
above 101°F, sedimentation BID for 14
Cervical rate, C-reactive days, or
motion protein, and cefoxitin 2 g
tenderness, chlamydial and IM in a single
Prolonged or gonococcal dose and
increased DNA probes probenecid 1 g
menstrual and cultures orally
bleeding, administered
Dysmenorrhea concurrently in
, Dysuria, a single dose
Acute lower plus
abdominal doxycycline
pain, Painful 100 mg PO
sexual BID a day for
intercourse, 14 days with or
Nausea, without
Vomiting metronidazole
500 mg PO
BID for 14
days

Syphilis
and stages

Vaginitis

Pubic Lice
For each infection type, what is the nursing interventions, management, patient
education, and considerations (list all 10 infections above).

1. Chlamydia

2. Gonorrhea

3. Genital Herpes

4. Genital Warts (HPV)

5. Hepatitis B

6. HIV and AIDS

Nursing Interventions/Management/Considerations:
1. Establish trust and be honest with patient; encourage her to talk about her fears and the
impact of the disease to provide an outlet for her concerns. Encourage her to discuss
reasons for her nonadherence to therapy.
2. Provide emotional support (helping patients accept the possibility of a shortened life
span, helping patients to cope with others’ reactions to a stigmatizing illness, and develop
strategies to maintain her physical and emotional health.)
3. Refer to appropriate community resources (HIV medical care services, substance abuse
services, mental health services, and social services)

4. Assess CD4 count and viral loads to determine disease progression (CD4 counts <500/L
and viral loads >10,000 copies/L = increased risk for opportunistic infections).

5. Assess complete blood count to identify presence of infection (>10,000 cells/mm 3 may
indicate infection).

6. Assess oral cavity and mucous membranes for painful white patches in mouth to evaluate
for possible fungal infection.

7. Teach client to monitor for general signs and symptoms of infections, such as fever,
weakness, and fatigue, to ensure early identification.

8. Use standard precautions (wear gloves when dealing with blood and body fluids, sharp
safety)

9. Assess nutritional status; Cachexia is common in patients with advanced HIV and AIDS

10. Relieve pain and discomfort

11. Promote Skin integrity (Routine oral care, use of non perfumed, non drying soaps,
provide perianal care with nonabrasive soap and water, apply nonperfumed moisturizer)

Education:
1. Assess her understanding of HIV and its treatment to provide a baseline for teaching
2. Promote adherence to drug therapy
3. Educate on the behavior to prevent the spread of HIV (protected sexual intercourse,
discourage the sharing of needles)
4. Educate on ways to reduce nausea, anorexia, and vomiting (separate intake of foods
and fluids, eat six small meals daily, eat dry crackers upon arising, eat high protein
supplements)
5. Provide information explaining the importance of avoiding people with infections
6. Teach importance of keeping appointments so her CD4 count and viral load can be
monitored to alert the health care provider about her immune system status.
7. Discuss the signs and symptoms of disease progression and potential opportunistic
infections to promote early detection for prompt intervention.
8. Counsel HIV-infected pregnant women to avoid breast feeding
7. Pelvic Inflammatory Disease (PID)

Nursing Interventions/Management/ Considerations:

1. If the woman with PID is hospitalized, maintain hydration via intravenous fluids if
necessary

2. administer analgesics as needed for pain.

3. Semi-Fowler’s positioning facilitates pelvic drainage.

4. To gain the woman’s cooperation, explain the various diagnostic tests needed.

5. Inspect the client for presence of fever (usually over 101°F)

6. Inspect vaginal discharge.

7. Palpate the abdomen, noting tenderness over the uterus or ovaries. Laparoscopy is the
current criterion standard for the diagnosis of PID.

8. Gather a comprehensive sexual history

9. Administer antibiotics as ordered

Education:
1. Discuss the implications of PID and the risk factors for the infection; her sexual partner
should be included if possible.
2. Sexual counseling should include practicing safer sex, limiting the number of sexual
partners, using barrier contraceptives consistently, avoiding vaginal douching,
considering another contraceptive method if she has an IUC and has multiple sexual
partners, and completing the course of antibiotics prescribed
3. Explain the problems that may occur if the condition is not treated or if the woman does
not adhere to the treatment plan.

4. Ask the woman to have her partner go for evaluation and treatment to prevent a repeat
infection.

5. Education on prevention: Advise sexually active girls and women to insist their partners
use condoms, Encourage routine vaginal douching, as this may lead to bacterial
overgrowth, Encourage regular STI screening, Emphasize the importance of having each
sexual partner receive antibiotic treatment.

8. Syphilis and stages

9. Vaginitis

10. Pubic Lice