A client with vulvovaginitis reports experiencing dysuria, green-yellow frothy discharge, and foul odor. What should the nurse suspect as the most likely causative agent?
Anaerobic bacteria.
Fungi.
Protozoa.
Low estrogen levels.
The Correct Answer is C
Choice A rationale:
Anaerobic bacteria typically cause a foul-smelling discharge, which doesn't match the described symptoms.
Choice B rationale:
Fungal infections result in a thick, white, cottage cheese-like discharge, different from the green-yellow frothy discharge mentioned.
Choice C rationale:
Protozoa, specifically Trichomonas vaginalis, cause green-yellow frothy discharge with a foul odor, closely resembling the client's symptoms.
Choice D rationale:
Low estrogen levels would not cause this specific presentation; they're more associated with vaginal dryness and thinning of vaginal walls.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Initiation of antibiotic therapy is not the primary intervention for severe dehydration in gastroenteritis. Fluid replacement is crucial to correct the fluid and electrolyte imbalances.
Choice B rationale:
Administration of antidiarrheal agents is contraindicated in cases of severe dehydration. These agents can delay the elimination of the causative agent and further worsen fluid loss.
Choice C rationale:
Oral rehydration therapy (ORT) is effective for mild dehydration but may not be sufficient in cases of severe dehydration where oral intake is limited.
Choice D rationale:
Intravenous fluid therapy (IVF) is the appropriate intervention for severe dehydration. IV fluids rapidly restore fluid balance and correct electrolyte imbalances, ensuring timely rehydration and preventing complications.
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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