Reference no: EM133361703

A. Mary is a 21-year-old female who, for the past several days, has complaints of frothy, yellowish - green vaginal discharge with odor. She also states she has experienced increased vaginal redness and itching. Mary is currently sexually active with her boyfriend of 8 months who "at times will choose not to use a condom." Mary has never experienced these symptoms before, nor does she have a history of any sexually transmitted infections. After she visits a local walk-in clinic, it is determined that she has STI. Her medication list includes a daily dual hormone oral contraceptive and a multivitamin. Vital Signs - Temp 101.6°F, Pulse 72, Resp 16, BP 186/102, pO2 94%, Ht 5′6″, Wt 65 kg

1. What medical and sexual history would be appropriate to gather for data collection?

2. What could be a potential infectious cause of the vaginal discharge and itching?

3. Discuss which laboratory and diagnostic test would be necessary?

4. Which sexually transmitted disease is likely to be diagnosed?

5. Which medications would be ordered?

6. What nursing intervention would be necessary?

7. What education would be necessary?

8. What are the potential complications associated with untreated STIs in women?

B. In addition, Mary expresses to you that she recently lost her job and is concerned about how much treatment will cost.

1. Discuss how the nurse would handle this situation.

2. How would the nurse help Mary in obtaining her medication?

3. How would the nurse convince Mary's boyfriend to get tested and treated?

4. What education would be necessary?