HESI Case Study: Gonorrhea - Questions & Answers Mrs. Cooper describes the pain in her lower abdomen as sharp and cramping. The HCP prescribes
... [Show More] hydrocodone bitartrate and acetaminophen (Norco) 5/325 two tabs PO prior to Mrs. Cooper's pelvic exam. Before initiating the treatment, it is most important for the nurse to implement which interventions? -Perform a focused assessment on the upper and lower abdomen -Implement a numeric pain assessment on a scale of 1 to 10 -Document a baseline of vital signs including a pulse oximetry. -Use at least two client identifiers before administering the medication Nurses with advanced training may perform a pelvic examination, but the HCP most commonly performs it. Which interventions can the nurse implement to decrease the Mrs. Cooper's anxiety during this examination? -Explain each step of the procedure in advance using models. -Talk to the client directing relaxation and breathing techniques. -Warm a cold speculum between the folds of a heating pad before the exam. The nurse explains to the client that medications will be administered to obtain which expected outcome? Uncomplicated gonorrhea is cured with a single dose of oral antibiotic therapy. Mrs. Cooper is instructed to return for a follow-up examination if symptoms persist after treatment. The nurse explains to Mrs. Cooper that recent research shows that strains of gonorrhea bacteria have emerged that are resistant to penicillin, tetracycline, ciprofloxacin, and cefixime. Which instructions are the most important for the nurse to provide to Mrs. Cooper prior to discharge? -Direct Mrs. Cooper to take medication to her sexual partner. -Counsel Mrs. Cooper about reinfection from a new or untreated partner -Emphasize compliance with completion of the antibiotic regimen. -Recommend abstinence from sexual intercourse until treatment completion. Which instructions are most important for the nurse to include in the healthcare teaching for a client who is diagnosed with gonorrheal infections? -Sexual partners should be examined, cultured, and treated with appropriate regimens. -Most treatment failures result from reinfections from untreated partners. -Complications are consequences of reinfection -HCPs are legally responsible for reporting to the local health department. Gonorrhea infection can coexist with other infections. As a result of Mrs. Cooper testing positive for gonorrhea, the nurse should prepare her for which treatments? Antimicrobial treatment of gonorrhea and chlamydia. -management of gonorrhea infections is straightforward and the cure is usually rapid with appropriate single-dose antibiotic therapy. Another consideration is the high percentage [Show Less]