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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
Q

Vulvovaginal Infection, Interventions: Patient education includes what?

A

Hand washing, proper hygiene, preventive strategies, measures to reduce risk, information regarding medications, and information regarding self-examination

26
Q

Vulvovaginal Infection, Interventions: What are all the interventions that could be done?

A

Sitz Baths/Peribottle

Explaining causes

Douching

Patient education

27
Q

Vulvovaginal Infection, Interventions: What is done now instead of Sitz Bath?

A

Peribottle.

28
Q

Vulvovaginal Infection, Interventions: What is a Peribottle?

A

Look like squeeze bottle that is filled with tepid tap water. When sitting toilet, they spread fluid on vaginal area that relieves discomfort.

29
Q

Vulvovaginal Infection, Interventions: If diabetic, what do you want to make sure they do?

A

Have good blood glucose control

30
Q

Genital Viral Infections - HPV: What is this?

A

Most common STD among sexually active young people

31
Q

Genital Viral Infections - HPV: Vaccine was developed because?

A

It was #1 cause of cervical cancer.

32
Q

Genital Viral Infections - HPV: What is treated if they get HPV?

A

Genital Warts

33
Q

Genital Viral Infections - HPV: What should you do annually to assess risk?

A

Annual Pap smears

34
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What is this?

A

Recurrent life-long viral infection

35
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): How is it transmitted?

A

By contact and also when carrier is asymptomatic

36
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What does this cause?

A

Painful itching and burning herpetic lesions

37
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What is a cold sore?

A

Not the same as this HErpes Type 2 Infection

38
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Signs and Symptoms?

A

Vesicles/Ulcerations (Can break open, and serious drainage inside is infectious)

Flu-Like Symptoms

Lymphadenopathy

Urethritis (Inflammation), Cystitis (Inflammation)

39
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Can mother pass this on to child?

A

Yes. If mother has not had outbreak in a while, they can deliver vaginally. Appears as blisters on infants

40
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Treatment for this?

41
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): What can be given to suppress symptoms?

A

antiviral agents Acyclovir (Zovirax), Valacyclovir (Valtrex) and Famiciclovir (Famvir) can suppress symptoms and shorten course of outbreak

42
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Recurrences may be associted with

A

stress, suburn, dental work, inadequate rest, and inadequate nutrition

43
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis): Infants delivered vaginally are at risk for

A

becoming infected, therefore C-Section may be performed.

44
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis) - Assessment: What do they assess?

A

Health History
Pelvic Exam
Assess for RF of STD

45
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis) - Nursing Diagnosis: Examplees of this?

A

Acute Pain
RF Infection
Anxiety
DEficient Knowledge

46
Q

Genital Viral Infections - Herpes Type 2 Infection (Herpes Genitalis) - Interventions: What would you recommend?

A

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
Q

Genital Viral Infections - Chlamydia: Etiology?

A

Chlamydia Trachomatis

48
Q

Genital Viral Infections - Chlamydia: Signs?

A

Urethritis

Conjunctivitis

Prostatitis, Epididymitis

49
Q

Genital Viral Infections - Chlamydia: How to women determine they have this?

A

When trying to get preganant, and finding out they have scarring from a chlamydia infection

50
Q

Genital Viral Infections - Gonorrhea: Etiology?

A

Neisseria Gonorrhoeae

51
Q

Genital Viral Infections - Gonorrhea: Signs in men?

A

Urethritis

Discharge

Epididymitis

52
Q

Genital Viral Infections - Gonorrhea: Women signs?

A

PID (Pelvic Inflammatory Disease)

Urethritis

Menstural Problems (Can have erratic bleeding, increased pain with mensturation)

53
Q

cGenital Viral Infections - Gonorrhea: Signs of this?

A

Itching , burning after urination, inflammation

Frothy , yellow discharge with odor

54
Q

Genital Viral Infections - Gonorrhea: Interventions?

A

Flagyl

Both partners have to be treated even if only one has it

55
Q

Genital Viral Infections - Pelvic Inflammatory Disease: Found in who?

56
Q

Genital Viral Infections - Pelvic Inflammatory Disease: What is this?

A

Infection of the pelvic cavity organs include:

Cervicitis(Cervix)
Endometritis (Endometrium)
Salpingitis (Fallopian Tubes)

57
Q

Genital Viral Infections - Pelvic Inflammatory Disease: Risk factors

A

Multiple SEx Partners

STDS

Substuance Abuse

Frequent DOuching

IUD Use

58
Q

Genital Viral Infections - Pelvic Inflammatory Disease: Signs of this?

A

Abdominal Pain

Purulent Vaginal Discharge

Pain with Intercourse

N/V

Pain on Urination

59
Q

Genital Viral Infections - Pelvic Inflammatory Disease: Interventions?

A

Antibiotics
Laparoscopic Surgery for Adhesions (remove scar tissue)

STDD Testing

Education

NRSG 110: Med Surg 2 (29 decks)

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