HESI MATERNITY CASE STUDY OB WEEK5.

Case Study Sexually Transmitted Infections week 5 7/17/20 Difficulty: Intermediate Setting: Outpatient clinic Index Words: sexually transmitted infection (STI), pelvic inflammatory disease (PID), human immunodeficiency virus (HIV), assessment, pain management, patient education Giddens Concepts: Health Care Law, Infection, Patient Education, Reproduction, Sexuality HESI Concepts: Assessment, Health Care Law, Infection, Patient Education, Sexuality/Reproductive Scenario You are the nurse in a walk-in clinic. A.P. is being seen this morning for a 2-day history of diffuse, severe abdominal pain. She has complaints of nausea without vomiting; she denies vaginal bleeding or discharge A.P. reports having unprotected sex with several partners recently, two of whom had penile discharge. Her last menstrual period ended 3 days ago. She has no known drug allergies and denies previousmedical or psychiatric problems. Vital signs are 108/60, 110, 20, 100.6 ° F (38.1 ° C). Physical examination reveals that her abdomen is very tender. The slightest touch of her abdomen causes her to wince with pain. Bowel sounds are normal. Pelvic examination reveals 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.The result of a pregnancy test is negative; a rapid diagnostic test for chlamydial infection has a positive result. 1. Which of these assessment findings are significant and why? The assessment finding that are significant include her temperature (100.6) which indicate a fever, severe abdominal pain indicates infection within the pelvic area, purulent drainage from the cervix indicates infection, having unprotected sex with multiple partners is a risk factor for STIs, and she is positive for chlamydia indicates that she has an STI. 2. 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. 3. What should you teach A.P. about chlamydial infectio? I should teach A.P. about how a person can get chlamydia infection, who is at a risk of getting chlamydia infection, symptoms of chlamydia infection in women, how to know if she has chlamydia infection , how she can be tested for chlamydia infection, treatment , and how to prevent chlamydia infection It is important that A.P. understands what chlamydia infection is and how a person can get it. Chlamydia infection is a sexually transmitted infection caused by a kind of bacteria called Chlamydia trachomatis.One can get chlamydia infection through anal, vaginal and oral sex with an infected person. Teaching A.P. about the causes of chlamydia will help her learn how to avoid the infection in the future.I should also teach A.P. about the symptoms of chlamydia so