Scenario # 2

You are working in a primary care office with a physician’s assistant (PA) and RN. A client comes in for a follow-up visit. He states that he was called to come in because of an “abnormal lab report.” You print the labs for the PA, and you see that the client had a sore on his penis that was scraped and sent to the lab. The scrapings are positive for syphilis. You also see in the notes that the client had to be called repeatedly to come to the office. At first, he was unwilling to return because he stated he “feels fine.”


Question # 3: The client is confused about why he needs to name his sexual partners. What factual information can the nurse give to explain the need for all of his sexual partners to be treated as soon as possible? (5-10 sentences)


Question # 4: The PA orders a single dose of Benzathine Penicillin G 2.4 million units IM. The client questions why he just cannot take some pills. What explanation will you provide to the client? (5-10 sentences)


Question # 3: The nurse can explain to the client that syphilis is a sexually transmitted infection caused by a bacterium called Treponema pallidum, which can be easily spread through sexual contact. Even if the client may not be experiencing any symptoms or discomfort at the moment, syphilis can progress through different stages, and without treatment, it can lead to severe health complications, including damage to the heart, brain, and other organs. Informing all sexual partners about the infection is crucial to prevent further transmission of the disease and to ensure that they receive prompt treatment. By treating all sexual partners, we not only protect their health but also prevent the spread of syphilis within the community. It’s important to emphasize that confidentiality will be maintained during this process, and the main goal is to safeguard everyone’s well-being.

Question # 4: The nurse can explain to the client that Benzathine Penicillin G is the preferred treatment for syphilis because it is highly effective in killing the bacteria that cause the infection. Unlike oral antibiotics, which may require multiple doses over several days, a single dose of Benzathine Penicillin G administered via intramuscular injection can effectively treat early-stage syphilis. This treatment regimen ensures that an adequate amount of medication reaches the bloodstream to eradicate the bacteria, providing a more reliable and consistent treatment outcome. Additionally, intramuscular administration helps to maintain therapeutic levels of the antibiotic in the body for an extended period, ensuring continuous protection against the infection. It’s important to reassure the client that the healthcare team will closely monitor for any potential side effects and provide appropriate care throughout the treatment process to ensure the best possible outcome for their health.

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