Page 1856 - Saunders Comprehensive Review For NCLEX-RN

urethra and instillation of an antiseptic solution.
6. Instruct the female client to avoid the use of perfumed
toilet paper or sanitary napkins and feminine hygiene
sprays.
7. Instruct the client to avoid intercourse until the
symptoms subside or treatment of the STI is
complete.
8. Instruct the client about STIs if this is the cause.
a. Prevent STIs by the use of latex
condoms or abstinence.
b. All sexual partners during the 30 days
before diagnosis with chlamydial
infection should be notified, examined,
and treated if indicated.
c. Chlamydial infection often coexists with
gonorrhea; diagnostic testing is done
for both STIs.
d. Treatment for STIs includes antibiotics
as prescribed to treat the causative
organism.
e. A serious primary complication of
chlamydial infection is sterility.
f. Follow-up culture may be requested in 4
to 7 days to evaluate the effectiveness
of medications.
XIV. Ureteritis
A. Description: An inflammation of the ureter commonly associated
with bacterial or viral infections and pyelonephritis
B. Assessment
C. Interventions
1. Dysuria
2. Frequent urination
3. Clear to mucopurulent penile discharge in males
4. Treatment includes identifying and treating the
underlying cause and providing symptomatic relief.
5. Metronidazole or clotrimazole may be prescribed for
treating Trichomonas infection.
6. Nystatin or fluconazole may be prescribed for treating
yeast infections.
7. Doxycycline or azithromycin may be prescribed for
treating chlamydial infections.
XV. Pyelonephritis
A. Description
1. An inflammation of the renal pelvis and the
parenchyma, commonly caused by bacterial invasion
2. Acute pyelonephritis often occurs after bacterial
contamination of the urethra or following an invasive
procedure of the urinary tract.

1856