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 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.
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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