Question

Mr. Wilson, a 39-year-old man, comes to the clinic with pain on urination and frequent urination. He described pain as burning. He provides a history of sexual activity since age 20, and reports previous sexual contacts with two women and a man in the last three months. In addition, he reports that no barrier methods of protection were used at times in the last three months. Most recent sexual activity has been on the weekend. Currently, he is engaged with his fiancée in a committed relationship as he states. He uses alcohol occasionally and smokes about one pack of cigarettes in three days.

Urine test for Neisseria gonorrhoeae yield positive result. The doctor prescribes one dose of Ceftriaxone IM injection and oral dosage of Doxycycline 100 mg for 7 days.

1. How will the nurse counsel Mr. Wilson about the testing process? How can the nurse help him prepare for the test result?. the answer needs to be specific
2. How will the nurse discuss the issue of partner notification with Mr. Wilson? Provide specific strategies and ways.the answer needs to be specific
3. Based on the current patient situation, what are the possible priority Nursing Diagnoses? List at least three priority nursing diagnoses. Explain why they are the priority nursing diagnoses.the answer needs to be specific
4. What health teaching and health promotions should the nurse discuss with the patient in relation to HIV diagnosis? the answer needs to be specific

Answer 1

●The nurse can counsel the patient in the following ways

• A urine sample has to be provided to rule out the cause of burning and frequent urination
• This test will also help us to find out for any risk or possibility of infection
• This result can aide in appropriate diagnosis and accurate treatment

●This is a most important state for a patient where they are in a state of fear and anxiety.The patient is in need of psychological support to understand and accept the test results

●When one person is having an infectious disease, it is a must to report this the partner as well .It is strictly followed under law.

The specific strategies to discuss this with patient and notify their partners are

• First understand and accept the patient feelings and emotions and provide time to come out with their frustration and needs.
• Once when the patient accepts it ,inform him that his partner's should be notified to screen for the infection and take appropriate preventive measures.

● Acute pain (while passing urine) related to infection as evidenced by painful voiding, frequent urination

(Always the pain has to be addressed first, managing this can ensure patient cooperation for treatment)

Risk for infection transmission related to infection as evidenced by having multiple partners ,not using any safety measure as evidenced by positive urine test for Neisseria gonorrhea.

(Having a infectious disease which can infect others has to be taken the second priority because this patient am transmit this to other partners if they are negative. This can also help to identify the cause for his infection)

Risk for respiratory illness,liver disease related to poor life style as evidenced by smoking ,alcohol

(The patient is at risk for this in the future though he has no problems in the present)

●The health teaching and health promotion which has to be discussed with the patient are

• Inform the partners and get them tested for any infection and treat at the earliest
• Teach him about tye safe sex practice
• Encourage to complete the antibiotic course because this infection can be treated effectively
• Avoid smoking and alcohol for long run to lead a quality life.