A client with atrophic vaginitis (AV) is prescribed hormonal therapy. Which statement by the client indicates an understanding of the treatment plan?

Choice A rationale:

Vaginal itching is a common symptom of vulvovaginitis but not a potential adverse effect of antibiotics. It is more indicative of the condition itself rather than a medication side effect.

Choice B rationale:

A fishy odor is characteristic of bacterial vaginosis (BV), not a common adverse effect of antibiotics. BV is caused by an imbalance in vaginal flora and is not directly related to antibiotic therapy.

Choice C rationale:

Increased vaginal discharge is a potential adverse effect of antibiotics. Antibiotics can disrupt the normal vaginal flora, leading to an overgrowth of yeast or other pathogens, which may result in increased discharge.

Choice D rationale:

Photosensitivity is unrelated to antibiotics or vulvovaginitis. It refers to an increased sensitivity to sunlight or artificial light and is not a relevant consideration in this context.

Choice A rationale:

Avoiding sexual intercourse is not necessary for preventing vulvovaginitis. Maintaining good hygiene and other preventive measures are more relevant.

Choice B rationale:

Using scented soaps for cleansing can actually increase the risk of vulvovaginal irritation and infections. Unscented, gentle cleansers are recommended.

Choice C rationale:

Limiting sexual partners helps reduce the risk of sexually transmitted infections (STIs) that can lead to vulvovaginitis.

Choice D rationale:

Douching regularly is not advised, as it disrupts the natural balance of vaginal flora and increases the risk of infections and irritation.