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 B
Explanation
Choice A rationale:
Giving loperamide to stop diarrhea is not appropriate for a child with suspected gastroenteritis. Loperamide can slow down bowel movements and may lead to complications, especially in pediatric patients.
Choice B rationale:
Encouraging the child to drink plenty of fluids is crucial to prevent dehydration, a common concern in gastroenteritis. Fluid intake helps replace lost fluids and electrolytes due to vomiting and diarrhea.
Choice C rationale:
Avoiding food until vomiting stops can deprive the child of essential nutrients. Small, frequent, bland meals are recommended during recovery from gastroenteritis.
Choice D rationale:
Giving aspirin to a child with fever is contraindicated due to the risk of Reye's syndrome, a potentially fatal condition. Acetaminophen is the preferred antipyretic.
Correct Answer is C
Explanation
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.
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