NURSING 3125 Case Study.

You are the nurse in a walk-in clinic. A.P. is being seen this morning for a 2-day history of diffuse but severe abdominal pain. She has complaints of (C/O) nausea without vomiting but denies vaginal bleeding or discharge. A.P. claims to have had unprotected sex with several partners, some of whom have penile discharge. Her last menstrual period (LMP) ended 3 days ago. She has no known drug allergies (NKDA) and denies previous medical or psychiatric problems. Vital signs (VS) are 108/60, 110, 20, 100.6° F (tympanic). Physical examination finds her abdomen is very tender. The slightest touch of her abdomen causes her to wince with pain. Bowel sounds are normal. Pelvic examination finds purulent material pooled in the vaginal vault, which appears to be coming from the cervix. A sample of the vaginal drainage is obtained and sent for culture 1. What medical interventions can you anticipate? The medical intervention I would anticipate would be to get her started on antibiotics and wait for the culture results to come back since there is evidence that there is purulent material pooled in the vaginal vault. 2. Based on A.P.’s stated history and the results of the vaginal examination, the physician also treats her for Chlamydia infection. What should you teach A.P. about her disease? First of all I would educate about sexual transmitted diseases and that Chlamydia is a intracellular pathogen that is related to gram negative bacteria and their signs and symptoms would be urinary frequency, dysuria and vaginal discharge. Of course, the most common symptom amongst this is the mucopurulent cervical discharge. It is important for women who are sexually active and are younger than 25years should get annually screening to test for any sexually transmitted