Gonorrhea Case Study updated 2024
Mrs. Cooper describes the pain in her lower abdomen as sharp and cramping. The HCP
prescribes 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? - ANS; -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? - ANS; -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? - ANS; 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? - ANS; -Direct Mrs. Cooper to take
medication to her sexual partner.
