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NRSG 110: Med Surg 2 > [Exam 3] STD Lecture > Flashcards

[Exam 3] STD Lecture Flashcards

1
Q

STD: Best protection is?

A

The male condom

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2
Q

STD: Oral Contraceptives and STD, do they help?

A

Offer no protection against STDs

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3
Q

STD: Even after treatment of STD, what should be worn?

A

A condom

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4
Q

Vuvlovaginal Infections: How common is this?

A

A common problem

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5
Q

Vuvlovaginal Infections: How is the vagina normally protected?

A

By acid pH, which is maintained in part by Lactobacillus Acidophilus

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6
Q

Vuvlovaginal Infections: Vaginal epithelium is responsive to

A

estrogen, which induces glycogen formation which breaks down into lactic acid, therefore decreased estrogen decreases acid production

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7
Q

Vuvlovaginal Infections: With perimenopause and menopause, decreased estrogen is related to

A

vaginal and labial atrophy, and tissue is more susceptible to infection

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8
Q

Vuvlovaginal Infections: What does antibiotics/douching do to the normal flora of the vagina?

A

You must be careful and monitor for a yeast infection.

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9
Q

Vuvlovaginal Infections: Lack of estrogen decreases what?

A

Acid production

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10
Q

Vaginal Infection: What is Candidiasis (Yeast Infection)?

A

White curd like substance (Cottage cheese like), intense itching, often caused by killing of natural flora, or changing of the pH

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11
Q

Vaginal Infection: What can cause Candidiasis?

A

Antibiotics, Vaginal Cleansers, Douching, or Bubble Baths

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12
Q

Vaginal Infection: What is Bacterial Vaginosis (Gardnerella)

A

“Fishy Odor”, watery discharge

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13
Q

Vaginal Infection: What is Trichomonas Vaginalis?

A

Frothy yellow green discharge

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14
Q

Risk Factors for Vulvovaginal Infection: What is something as you get older that can cause this?

A

Premenarche/Perimenopause/Menopause/Low Estrogen Levels

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15
Q

Risk Factors for Vulvovaginal Infection: What are some common risk factors for this?

A

Douching, Antibiotics , Intercourse with infected partner

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16
Q

Risk Factors for Vulvovaginal Infection: What are some not known risk factors for this?

A

Pregnancy/Oral Contraceptive Use

Poor Hygiene

Tight Garmens

Allergies

Diabetes Mellitus

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17
Q

Nursing Process: Care of the Patient with a Vulvovaginal Infection - Assessment: When should you examine them?

A

As soon as possible after onset of symptoms

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18
Q

Nursing Process: Care of the Patient with a Vulvovaginal Infection - Assessment: What should you instruct patient nto to do?

A

Not to douche prior to assessment. We want to test the discharge

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19
Q

Nursing Process: Care of the Patient with a Vulvovaginal Infection - Assessment: What history will you look at?

A

Physical and Chemical Factors

Psychogenic Factors

MEdical Conditions

Use of Medications

Sexual Activity/History

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20
Q

Nursing Process: Care of the Patient with a Vulvovaginal Infection - Diagnosis: What are they?

A

Discomfort, Anxiety, RF Infection, Deficient Knowledge

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21
Q

Nursing Process: Care of the Patient with a Vulvovaginal Infection - Goals: What are the major goals here?

A

Relief of Discomfort

Reduction of Anxiety

Prevention of Reinfection

Prevention of infection of sexual partner

Acquisition of knowledge about self-care and prevention of infection

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22
Q

Vulvovaginal Infection, Interventions: What may help relieve discomfort?

A

Sitz Baths/Peribottle, where you sit in wamr water

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23
Q

Vulvovaginal Infection, Interventions: What would help reduce anxiety?

A

Explaining the cause of symptoms and methods

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24
Q

Vulvovaginal Infection, Interventions: Why would therapeutic douching be prescribed?

A

To reduce odors and remove excessive drainage

25
Vulvovaginal Infection, Interventions: Patient education includes what?
Hand washing, proper hygiene, preventive strategies, measures to reduce risk, information regarding medications, and information regarding self-examination
26
Vulvovaginal Infection, Interventions: What are all the interventions that could be done?
Sitz Baths/Peribottle Explaining causes Douching Patient education
27
Vulvovaginal Infection, Interventions: What is done now instead of Sitz Bath?
Peribottle.
28
Vulvovaginal Infection, Interventions: What is a Peribottle?
Look like squeeze bottle that is filled with tepid tap water. When sitting toilet, they spread fluid on vaginal area that relieves discomfort.
29
Vulvovaginal Infection, Interventions: If diabetic, what do you want to make sure they do?
Have good blood glucose control
30
Genital Viral Infections - HPV: What is this?
Most common STD among sexually active young people
31
Genital Viral Infections - HPV: Vaccine was developed because?
It was #1 cause of cervical cancer.
32
Genital Viral Infections - HPV: What is treated if they get HPV?
Genital Warts
33
Genital Viral Infections - HPV: What should you do annually to assess risk?
Annual Pap smears
34
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What is this?
Recurrent life-long viral infection
35
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): How is it transmitted?
By contact and also when carrier is asymptomatic
36
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What does this cause?
Painful itching and burning herpetic lesions
37
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What is a cold sore?
Not the same as this HErpes Type 2 Infection
38
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Signs and Symptoms?
Vesicles/Ulcerations (Can break open, and serious drainage inside is infectious) Flu-Like Symptoms Lymphadenopathy Urethritis (Inflammation), Cystitis (Inflammation)
39
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Can mother pass this on to child?
Yes. If mother has not had outbreak in a while, they can deliver vaginally. Appears as blisters on infants
40
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Treatment for this?
No Cure
41
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What can be given to suppress symptoms?
antiviral agents Acyclovir (Zovirax), Valacyclovir (Valtrex) and Famiciclovir (Famvir) can suppress symptoms and shorten course of outbreak
42
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Recurrences may be associted with
stress, suburn, dental work, inadequate rest, and inadequate nutrition
43
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Infants delivered vaginally are at risk for
becoming infected, therefore C-Section may be performed.
44
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis) - Assessment: What do they assess?
Health History Pelvic Exam Assess for RF of STD
45
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis) - Nursing Diagnosis: Examplees of this?
Acute Pain RF Infection Anxiety DEficient Knowledge
46
Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis) - Interventions: What would you recommend?
Proper hygiene with clean, soft loose clothes Avoid ointments and powders. Encourage fluid intake. Instructrions regarding meds Measure to prevent reinfection and to reduce anxiety
47
Genital Viral Infections - Chlamydia: Etiology?
Chlamydia Trachomatis
48
Genital Viral Infections - Chlamydia: Signs?
Urethritis Conjunctivitis Prostatitis, Epididymitis
49
Genital Viral Infections - Chlamydia: How to women determine they have this?
When trying to get preganant, and finding out they have scarring from a chlamydia infection
50
Genital Viral Infections - Gonorrhea: Etiology?
Neisseria Gonorrhoeae
51
Genital Viral Infections - Gonorrhea: Signs in men?
Urethritis Discharge Epididymitis
52
Genital Viral Infections - Gonorrhea: Women signs?
PID (Pelvic Inflammatory Disease) Urethritis Menstural Problems (Can have erratic bleeding, increased pain with mensturation)
53
cGenital Viral Infections - Gonorrhea: Signs of this?
Itching , burning after urination, inflammation Frothy , yellow discharge with odor
54
Genital Viral Infections - Gonorrhea: Interventions?
Flagyl Both partners have to be treated even if only one has it
55
Genital Viral Infections - Pelvic Inflammatory Disease: Found in who?
In women
56
Genital Viral Infections - Pelvic Inflammatory Disease: What is this?
Infection of the pelvic cavity organs include: Cervicitis(Cervix) Endometritis (Endometrium) Salpingitis (Fallopian Tubes)
57
Genital Viral Infections - Pelvic Inflammatory Disease: Risk factors
Multiple SEx Partners STDS Substuance Abuse Frequent DOuching IUD Use
58
Genital Viral Infections - Pelvic Inflammatory Disease: Signs of this?
Abdominal Pain Purulent Vaginal Discharge Pain with Intercourse N/V Pain on Urination
59
Genital Viral Infections - Pelvic Inflammatory Disease: Interventions?
Antibiotics Laparoscopic Surgery for Adhesions (remove scar tissue) STDD Testing Education

NRSG 110: Med Surg 2 (29 decks)

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