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 D
Explanation
Choice A rationale:
Assessing blood glucose levels is not directly related to ondansetron administration for vomiting. Ondansetron does not typically affect blood glucose levels.
Choice B rationale:
Obtaining a stool sample for culture and microscopy is important for diagnosing the cause of gastroenteritis, but it is not a necessary step before administering ondansetron.
Choice C rationale:
Monitoring urinary output is not directly associated with the administration of ondansetron. It's important for assessing hydration status, but it's not the immediate concern when administering this antiemetic medication.
Choice D rationale:
Checking vital signs is essential before giving any medication to ensure the client's overall stability and to detect any potential contraindications or adverse reactions.
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.
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