A client reports experiencing vaginal dryness and atrophy. The nurse suspects atrophic vaginitis (AV) Which assessment finding supports this suspicion?
Vaginal pH less than 4.5.
Presence of motile trichomonads on microscopic examination.
Thin and loss of rugae (folds) of vaginal mucosa on examination.
Vaginal discharge that is thin, gray-white, or milky.
The Correct Answer is C
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)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
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.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Administering oral or intravaginal antibiotics is not appropriate for vulvovaginal candidiasis (CV) since it is caused by a fungal infection, not bacterial. Antifungal medications are the primary treatment.
Choice B rationale:
Educating the client on the causes, symptoms, and prevention of CV is essential to ensure the client understands the infection, its symptoms, and how to prevent recurrence.
Choice C rationale:
Providing comfort measures to relieve irritation and discomfort, such as soothing creams and warm sitz baths, helps alleviate the discomfort associated with CV.
Choice D rationale:
Encouraging the client to avoid sexual intercourse during treatment is advised to prevent further irritation and disruption of the vaginal flora.
Choice E rationale:
Advising the client to limit sexual partners is not a specific intervention for CV.
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