A client with vulvovaginitis is prescribed antibiotics. The nurse should monitor the client for which potential adverse effect?
Vaginal itching.
Fishy odor.
Increased vaginal discharge.
Photosensitivity.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
Thin, frothy, green-yellow vaginal discharge is indicative of trichomoniasis, not candidal vulvovaginitis (CV) Trichomoniasis typically presents with a foul-smelling discharge.
Choice B rationale:
While inflammation, itching, and burning are common symptoms of CV, they do not specifically describe the characteristic discharge associated with this condition.
Choice C rationale:
Thick, white, and clumpy vaginal discharge with no odor is a classic presentation of candidal vulvovaginitis (CV) The discharge is often described as resembling cottage cheese.
Choice D rationale:
A vaginal pH greater than 5.0 is suggestive of bacterial vaginosis, not candidal vulvovaginitis. In CV, the vaginal pH is usually normal (around 4-4.5)
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