A client with vulvovaginitis presents with a thick, white discharge resembling cottage cheese. Which of the following causative agents is most likely responsible for this presentation?
Anaerobic bacteria.
Fungi.
Protozoa.
Low estrogen levels.
Human papillomavirus.
The Correct Answer is B
Choice A rationale:
Anaerobic bacteria are not responsible for the described symptoms. They typically cause foul-smelling discharge with a different consistency.
Choice B rationale:
Fungi, such as Candida species, commonly cause vaginal candidiasis, which presents with thick, white, cottage cheese-like discharge. This matches the client's symptoms.
Choice C rationale:
Protozoa, like Trichomonas vaginalis, usually lead to a frothy, greenish-yellow discharge with a foul odor, which doesn't align with the client's presentation.
Choice D rationale:
Low estrogen levels would not directly cause this type of discharge. They might lead to vaginal dryness and thinning of vaginal walls, but not the specific discharge described.
Choice E rationale:
Human papillomavirus (HPV) doesn't typically cause the described discharge. It's associated with genital warts and cervical changes but not with this type of discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Education empowers the patient to prevent recurrence by understanding the causes and symptoms of foreign body-related vulvovaginitis, contributing to long-term management.
Choice B rationale:
Administering specific treatments like antivirals, antiparasitics, or antibiotics addresses the acute phase but does not focus on preventing future occurrences or patient education.
Choice C rationale:
Encouraging good hygiene and cotton underwear is essential, but it is more reactive than providing education for long-term prevention.
Choice D rationale:
Monitoring for complications is important, but the nurse should prioritize patient education to promote proactive management and prevention.
Ebola.
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)
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.