A client has been diagnosed with vulvovaginitis caused by Trichomonas vaginalis. Which treatments should the nurse anticipate being prescribed for this client? Select all that apply:
Antibiotics.
Antifungals.
Antiprotozoals.
Topical creams.
Correct Answer : A,B,C
Choice A rationale:
Antibiotics are not typically used to treat Trichomonas vaginalis, as it is a protozoan infection rather than a bacterial infection.
Choice B rationale:
Antifungals are also not appropriate for treating Trichomonas vaginalis, as it is not a fungal infection.
Choice C rationale:
Antiprotozoals are the correct treatment for Trichomonas vaginalis infection. Metronidazole is commonly prescribed to treat this type of vulvovaginitis.
Choice D rationale:
Topical creams may be used for other types of vulvovaginitis, but they are not the primary treatment for Trichomonas vaginalis.
Choice E rationale:
Hormonal therapy is not indicated for the treatment of vulvovaginitis caused by Trichomonas vaginalis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Limiting sexual partners is a crucial preventive measure for vulvovaginitis. This reduces the risk of exposure to potential infections that can lead to vulvovaginitis. Multiple sexual partners can increase the chances of contracting sexually transmitted infections (STIs) and other pathogens.
Choice B rationale:
Avoiding the use of condoms is not a recommended preventive measure. Condoms provide a barrier against STIs and other infectious agents, reducing the risk of vulvovaginitis. Therefore, this choice is not appropriate for prevention.
Choice C rationale:
Using scented detergents for laundry is not advisable. Scented products can disrupt the natural pH balance of the vagina, leading to irritation and an increased risk of vulvovaginitis. Unscented or mild detergents are preferable to maintain vaginal health.
Choice D rationale:
Increasing the intake of sugary foods is not recommended for vulvovaginitis prevention. High sugar consumption can lead to an overgrowth of yeast (Candida albicans) in the vaginal area, potentially causing vulvovaginitis. Therefore, this choice contradicts preventive measures.
Correct Answer is C
Explanation
Choice A rationale:
Anaerobic bacteria typically cause a foul-smelling discharge, which doesn't match the described symptoms.
Choice B rationale:
Fungal infections result in a thick, white, cottage cheese-like discharge, different from the green-yellow frothy discharge mentioned.
Choice C rationale:
Protozoa, specifically Trichomonas vaginalis, cause green-yellow frothy discharge with a foul odor, closely resembling the client's symptoms.
Choice D rationale:
Low estrogen levels would not cause this specific presentation; they're more associated with vaginal dryness and thinning of vaginal walls.
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