What Should the Nurse Do?
Mandeep, a 23-year-old cisgender female, presents at the community health clinic seeking guidance and care. She reports experiencing vaginal itching, burning sensations, and an unusual vaginal discharge. Mandeep discloses a recent change in sexual partners and inconsistent condom use. Her medical history includes oral contraceptive use, and she has no known psychiatric conditions. Vital signs are within normal ranges. Mandeep is visibly distressed and expresses concerns about her symptoms. The nursing staff conducts a thorough assessment to address her needs.
1
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Considering Mandeep’s symptoms, what sexually transmitted infections (STIs) might be suspected?
2
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How would you educate Mandeep on preventing and treating STIs?
3
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What nursing interventions would you implement to support Mandeep’s care?
4
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How might you approach discussing the possibility of sexually transmitted viral infections with Mandeep?
Aurélie, a 28-year-old cisgender female, visits the gynecology clinic complaining of vaginal itching, burning, and an unusual discharge. She mentions experiencing these symptoms for the past week and has attempted over-the-counter treatments with minimal relief. Aurélie has no significant medical history, denies any psychiatric conditions, and her vital signs are within the normal range. During the assessment, the nursing staff observes signs consistent with bacterial vaginitis and candidiasis.
5
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Based on Aurélie's symptoms, what clinical findings might you expect during the examination, and how would you differentiate between bacterial vaginitis and candidiasis?
6
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What diagnostic approaches would you recommend to confirm the presence and specific type of vaginal infection?
7
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Considering Aurélie's discomfort, what nonpharmacologic and pharmacologic treatment options would you discuss with her, and how would you prioritize them?
8
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In line with the educational component, how would you counsel Aurélie on preventing recurrent episodes of bacterial vaginitis and candidiasis?
9
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What considerations would you keep in mind regarding the potential emotional impact of these infections on Aurélie, and how might you address her concerns and anxieties?
Chase, a 35-year-old person AFAB, visits the urgent care clinic complaining of frequent and painful urination, along with lower abdominal pain. They report no significant medical history but mention a recent episode of unprotected sexual intercourse. Chase denies any psychiatric conditions and presents with slightly elevated body temperature. The nursing staff notes the discomfort during urination and a sense of urgency. A comprehensive assessment is initiated to understand the urinary symptoms.
10
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Considering Chance’s symptoms, what type of urinary tract infection (UTI) might be suspected, and how would you differentiate between upper and lower UTIs?
11
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What diagnostic measures would you recommend to confirm the type and extent of the UTI?
12
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What factors could contribute to the patient’s condition, and how might they inform the management plan?
13
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How would you educate Chase on the prevention strategies for recurrent UTIs?
14
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Considering the possibility of interstitial cystitis, what additional assessments might be necessary to explore this condition?