The nurse is caring for an adolescent newly diagnosed with a chlamydial infection. After administering a one-time dose of azithromycin, the nurse understands that which of the following client statements indicate a correct understanding of client teaching? Select all that apply.

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Chlamydia is the most common sexually transmitted infection and is diagnosed frequently among women, adolescents, and those with multiple sexual partners. Many clients are asymptomatic or have minor symptoms (eg, spotting after sex, dysuria, abnormal vaginal discharge) but can still transmit the infection (Option C). Therefore, all sexually active women age <25 and any client age ≥25 at high risk (eg, new or several sexual partners) are screened annually for chlamydia and gonorrhea (Option D). The client's sexual partners should also receive treatment to prevent transmission and reinfection (Option E). If not treated appropriately, chlamydia can ascend the female genital tract, producing serious complications such as pelvic inflammatory disease and infertility (Option A). Clients should also be instructed in general safe sex practices (eg, using condoms, avoiding multiple partners) to help prevent transmission of sexually transmitted infections. Clients should be taught to abstain from sexual intercourse for 7 days after initiation of drug therapy (eg, single dose of azithromycin, 7 days of doxycycline). This client received treatment today and therefore must wait 7 days before resuming intercourse (Option B). Educational objective: Clients with a chlamydial infection may be asymptomatic or experience minor symptoms (eg, spotting after sex, dysuria, abnormal vaginal discharge). Clients should abstain from sexual intercourse for 7 days after antibiotic treatment is initiated and until all sexual partners have completed treatment to prevent transmission and serious complications. Sexually active clients age <25 or those age ≥25 at high risk should be screened annually.

The Nurse Is Caring for an Adolescent Newly Diagnosed with a Chlamydial