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 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)
Correct Answer is C
Explanation
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.
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