When a 31-year-old male patient returns to the clinic for follow-up after treatment for gonococcal urethritis, a purulent urethral discharge is still present
When trying to determine the reason for the recurrent infection, which question is most appropriate for the nurse to ask the patient?
a. "Did you take the prescribed antibiotic for a week?"
b. "Did you drink at least 2 quarts of fluids every day?"
c. "Were your sexual partners treated with antibiotics?"
d. "Do you wash your hands after using the bathroom?"
ANS: C
A common reason for recurrence of symptoms is reinfection because infected partners have not been simultaneously treated. Because gonorrhea is treated with one dose of antibiotic, antibiotic therapy for a week is not needed. An adequate fluid intake is important, but a low fluid intake is not a likely cause for failed treatment. Poor hygiene may cause complications such as ocular trachoma but will not cause a failure of treatment.
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