A client presents with a thin, frothy, green-yellow vaginal discharge with a foul musty odor. Which condition is most likely to be the cause?
Bacterial vaginosis (BV)
Candidal vulvovaginitis (CV)
Trichomonas vaginalis (TV)
Atrophic vaginitis (AV)
The Correct Answer is C
Choice A rationale:
Bacterial vaginosis (BV) typically presents with a thin gray or white discharge and is associated with a fishy odor. It is not known for a green-yellow discharge.
Choice B rationale:
Candidal vulvovaginitis (CV) often presents with a white, thick, cottage cheese-like discharge, not a green-yellow discharge.
Choice C rationale:
Trichomonas vaginalis (TV) infection can result in a thin, frothy, green-yellow vaginal discharge with a foul musty odor. This infection is sexually transmitted and may also cause itching and irritation.
Choice D rationale:
Atrophic vaginitis (AV) is not associated with a frothy, green-yellow discharge but rather with symptoms related to estrogen deficiency and vaginal thinning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A vaginal pH less than 4.5 is within the normal acidic range and does not specifically support the suspicion of atrophic vaginitis (AV)
Choice B rationale:
Presence of motile trichomonads indicates trichomoniasis, not atrophic vaginitis (AV)
Choice C rationale:
Thin and loss of rugae (folds) of vaginal mucosa is a characteristic finding in atrophic vaginitis (AV) This condition occurs due to decreased estrogen levels, leading to thinning and drying of vaginal tissues.
Choice D rationale:
A thin, gray-white, or milky vaginal discharge is more suggestive of other infections or conditions and is not a specific sign of atrophic vaginitis (AV)
Correct Answer is A
Explanation
Choice A rationale:
Trichomonas vaginalis (TV) infection is treated with medications that have activity against protozoa, such as metronidazole, clindamycin, tinidazole, or secnidazole. These drugs are effective in eradicating the infection.
Choice B rationale:
Oral fluconazole and topical azoles are used to treat fungal infections, such as candidiasis, not Trichomonas vaginalis (TV) infection.
Choice C rationale:
Hormonal therapy with estrogen creams, tablets, or rings is used for menopausal or postmenopausal symptoms, not for the treatment of Trichomonas vaginalis (TV) infection.
Choice D rationale:
Removal of foreign bodies or irritants is a general management strategy and is not specific to treating Trichomonas vaginalis (TV) infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.