PRAC 6552 Week 10 Assignments 3; Comprehensive Well Women Exam
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Comprehensive Well Women Exam Student Name PRAC 6552: Advanced Nurse Practice in Reproductive Health Care Practicum Date 75-year-old African American male comes in to the office for lesion on ankle. You made a lot of good points in your post. Some additional testing that I would recommend is syphilis, HIV, and hepatitis B and C. The CDC (2021) recommends women who have had more than one sex partner in the last 6 months to be tested. Since the patient has risky behaviors of multiple sex partners and binge drinking it is important to test her for these additional STIs since some of them can be asymptomatic. Treatment options Trichomoniasis- metronidazole 2 grams po x1 dose (Kissinger, 2015). The patient needs education about not drinking alcohol or consume foods or medicines that contain propylene glycol while you are taking and for at least 24 hours after dose (Schuiling & Likis, 2022). The patient’s sexual partner needs to be treated as well (Kissinger, 2015) Gonorrhea- ceftriaxone 250 mg IM x1 dose (Francisco-Natanauan, Leatherman-Arkus, & Pantell, 2021) Chlamydia – azithromycin 1 gm po x1 dose (Francisco-Natanauan, Leatherman-Arkus, & Pantell, 2021) It is also important to educate the patient about abstaining from risky behaviors of excessive drinking, multiple sex partners and not using barriers ............Continue
