SOLVED1730

Jennifer, a young adult female patient is being seen in the urgent care unit by you, a nurse practitioner. She is C/O vaginal itching, thick, yellow, mucous discharge, and urinary discomfort. She is sexually active and uses condoms with one of her partners but not both. On physical exam, the abdomen is negative for abnormalities. The pelvic exam reveals the BUS as expected, mucopurulent discharge from the cervical os, and the cervical mucosa is friable to palpation. The bimanual exam is negative. Cultures were taken but are not available. Wet mount with KOH reveals negative whiff test, too numerous to count (TNTC) WBCs, no yeast, no trichomonads. What is the most likely diagnosis and appropriate treatment? Group of answer choices Chlamydia: give Doxycycline 100 mg orally 2 times/day for 7 days Chlamydia: give Rocephin 125 mg IM. HSV: give Zovirax 200 mg capsule PO QID x 5 days Trichomoniasis: Flagyl 2 gm PO single dose
SCIENCE
HEALTH SCIENCE
NURSING

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