SOLVED1132

An adult patient with a history of gonorrhea is seen at a primary care clinic with eye problems for the last 2 weeks. He stated that he has been having marital problems with his wife and complains that she is extremely jealous and possessive of him. As a result of his problems, he has been engaging in sexual activities with various other women for months and contracted gonorrhea 3 months ago. He states that his right eye has felt itchy, swollen, and red for the last 2 weeks and has had a persistent purulent discharge that often causes his eyes to feel “glued” together when he wakes up. He is very concerned about the constant discharge and eye symptoms, and he wishes to get treatment for it. He denies vision problems or problems with pupillary reaction. The patient’s temperature is 98.3 degrees Fahrenheit, HR is 80, RR is 16, and BP is 110/70. A physical exam of the eye reveals the picture shown below. Which of the following is the next best step in management? A. Cold compresses B. Ayclovir (Zovirax) C. Topical azithromycin ointment (Zithromax) D. Oral azithromycin (Zithromax)
SCIENCE
HEALTH SCIENCE
NURSING

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