Problem:
A 20-year-old woman who presents to the sexual health clinic concerned because her most recent sexual partner reported a painful genital lesion approximately 5 days after having intercourse with her for the first time. Before the lesion she states that her partner had a "cold" and fever. She is worried that her partner may have given her a sexually transmitted infection (STI) and is expressing feelings of anger. The client reports a history of bacterial vaginosis, trichomoniasis, and irregular menses. Her last menstrual period began 4 days ago, and she states that her periods are heavy and last between 2 and 9 days. She has an intrauterine device (IUD) in place for birth control, and she does not wish to change her current method of birth control. She is on maintenance medication for depression. On arrival, her blood pressure is 108/74, pulse 75, respiratory rate 18, and temperature 98.2 °F (36.8 °C). She is 5'7'' and weighs 190 pounds (86 kg) (BMI 29.75). She appears in good health and is well-groomed. She is alert and oriented with calm, appropriate behavior. The client is waiting to be evaluated by the healthcare provider, and the nurse is conducting a detailed health