Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:1. None, wait for the culture results to determine the course of treatment2. Ciprofloxacin (Ciloxan) ophthalmic drops3. IM ceftriaxone4. High-dose oral amoxicillin

The correct answer to the question is option 3

IM CEFTRIAXONE

Explanation: Gonococcal conjunctivitis is an ocular condition (condition of the eye),it is a bacterial infection of the eye caused by neisseria gonorrhoeae.

Gonococcal conjunctivitis can be transmitted/gotten when the eyes of an individual(uninfected person) comes in contact with the genitalia of an infected person.

In infants/neonates, gonococcal conjunctivitis is called ophthalmia neonatorum and it is transmitted to the neonate by the mother during childbirth.

Im ceftriaxone will be given to Annie because ceftriaxone is a cephalosporin(class of antibiotics) that is used to treat some kinds of infections caused by bacteria including ocular/eye infections.

Neisseria gonorrheae is a bacteria and gonococcal conjunctivitis a bacterial infection making ceftriaxone an ideal antibiotics to be administered to Annie.

Someone with gonococcal conjunctivitis will experience; mucopurulent discharge from the eyes that is very severe, tenderness of the eyelid and swelling/edema of the eyelid.

sand 60

clay 10

silt 30

sandy loam should be dominated by the sand. as the amount of sand increased, the amount of slit needed to anchor the plants' roots to the sand will also be increased. even though the amount is very little, 10% part of clay is still necessary for proper oxidation.