Reference no: EM133366975

Assignment:

L. A. is a sexually active 15-year-old who lives in a suburban neighborhood with her parents and two younger sisters. She does not confide in her parents about her activities, but rather discusses them with her two best friends in high school, who also are sexually active. Last week a guest speaker at school discussed the topic of sexually transmitted diseases (STDs) which L. A. thought quite a bit about since the discussion. She has an appointment tomorrow for her annual gynecologic examination.

In the privacy of the examination room, L. A. tells the nurse about her sexual activity and comments that her boyfriend has been experiencing a penile discharge and is concerned that "he may have infected me with some disease." When questioned by the nurse, L. A. states that she has not experienced any vaginal discharge, odor, itching, or painful intercourse. The nurse collaborates with the gynecologist, who prescribes a C. trachomatis point-of-care test.

1. Discuss the significance of L.A.'s clinical manifestations.
2. Discuss the incidence of chlamydia.
3. What other assessment data would be helpful for the nurse to have to prepare L. A.'s care plan?
4. What are the priorities of care for L. A. during this visit?
5. Discuss the relationship between L. A.'s level of growth and development and her risk for STD.
6. L. A.'s C. trachomatis point-of-care test is positive. What does this finding mean?
7. What are the common complications associated with L. A.'s condition if it is not effectively treated?
8. L. A. is prescribed doxycycline 100 mg by mouth twice a day for 7 days. Discuss your impression of this prescription.
9. Discuss the adverse effects associated with L. A.'s medication prescription and the appropriate nursing actions when giving L. A. this prescription to fill.
10. Discuss L. A.'s priority teaching needs prior to her discharge from the clinic.