A midwife initiates therapy for an infection in a client. The client is instructed to return a week later for a repeat culture so that the midwife can monitor the effectiveness of the medication in eliminating the causative agent of the infection. The client is most likely infected with:

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The client is most likely infected with Neisseria gonorrhoeae. N. gonorrhoeae is a bacterium that can be treated and eliminated by antibiotic therapy. Clients with gonorrhea are usually prescribed penicillin, and a repeat culture verifies whether or not the causative agent has been eliminated. Treponema pallidum is the causative agent for sphyllis. It is a bacterium that is treated with antibiotics; however, the response to therapy is determined by a dark microscopy test. HSV 1 and 2 are viruses. They are not curable. HSV 1 and 2 are managed by supportive therapy.

A Midwife Initiates Therapy for an Infection in a Client