A patient has contracted syphilis from a sexual partner and has infected his spouse. What interventions should the nurse plan for this couple?

Select all that apply.
1. Explain the need for follow-up testing in three months and six months.
2. Refer to a marriage counselor.
3. Administer intramuscular injection of penicillin G as ordered.
4. Discuss abstaining from sexual activity until cured.
5. Review handwashing techniques.


Correct Answer: 1, 3, 4
The most important part of the treatment process is the immediate medical treatment of the syphilis in order to contain it in the first stage. The preferred treatment is the injection of the penicillin G. In order to prevent further spread of the disease and risk reinfection, abstinence from all sexual activity is required until cured. In order to determine that the disease is eradicated, follow-up testing is required at three months and six months. Partners should be referred for treatment; however, marriage counseling is not specifically identified. Handwashing is not an identified intervention for this disease process.

Nursing

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