Question

The nurse is planning teaching for a female client diagnosed with urethritis caused by chlamydial infection. Which information should the nurse plan to include in the teaching session?

1.Alter the perineal pH by using a spermicide with a condom.
2.Keep follow-up appointments for repeat cultures in 4 to 7 days.
3.Discontinue antibiotics after 3 weeks of uninterrupted administration.
4.Identify sexual partners for the past 12 months so they can be treated.

Answer 1

The nurse should educate the client on the CDC-recommended antibiotics for chlamydial infection, the necessity of completing the full course of antibiotics, treating sexual partners to prevent reinfection, and the importance of follow-up care to avoid complications like PID.

Step-by-step explanation:

The nurse should include several critical pieces of information when planning teaching for a client diagnosed with urethritis caused by chlamydial infection. Importantly, the Centers for Disease Control and Prevention (CDC) guidelines recommend specific antibiotics for treating Chlamydia, such as azithromycin or doxycycline. Because of the common co-infection with N. gonorrhoeae, a combination regimen may be prescribed. It is paramount for the client to understand that antibiotics must be taken as directed, and the full course should be completed, even if symptoms improve or disappear before the medication is finished.

Additionally, the nurse should stress the importance of treating sexual partners to avoid reinfection and further spread of the infection. Lastly, teaching about potential complications of an untreated chlamydial infection, such as Pelvic Inflammatory Disease (PID), and the necessity of follow-up care to ensure the infection has been completely eradicated should be included in the session.