A nurse expects to find which manifestations in the male patient who has both Chlamydia and gonorrhea?
Correct Answer: A
Rationale: The correct answer is A because painful urination and purulent urethral discharge are classic manifestations of both Chlamydia and gonorrhea in male patients. Painful urination, known as dysuria, is a common symptom of these sexually transmitted infections due to inflammation of the urethra. Purulent urethral discharge is also typical and results from the infection of the urethral mucosa.
Option B is incorrect as a single, firm, painless open sore on the shaft of the penis is a classic presentation of syphilis, not Chlamydia or gonorrhea. Option C is incorrect as red superficial vesicles on the shaft of the penis are characteristic of genital herpes. Option D is incorrect as a single or a cluster of wartlike growth in the anal-rectal area is typical of genital warts caused by human papillomavirus (HPV).