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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Giving loperamide to stop diarrhea is not appropriate for a child with suspected gastroenteritis. Loperamide can slow down bowel movements and may lead to complications, especially in pediatric patients.
Choice B rationale:
Encouraging the child to drink plenty of fluids is crucial to prevent dehydration, a common concern in gastroenteritis. Fluid intake helps replace lost fluids and electrolytes due to vomiting and diarrhea.
Choice C rationale:
Avoiding food until vomiting stops can deprive the child of essential nutrients. Small, frequent, bland meals are recommended during recovery from gastroenteritis.
Choice D rationale:
Giving aspirin to a child with fever is contraindicated due to the risk of Reye's syndrome, a potentially fatal condition. Acetaminophen is the preferred antipyretic.
Correct Answer is C
Explanation
Choice A rationale:
Lubricants and moisturizers are commonly used for symptom relief in atrophic vaginitis (AV), but this choice does not reflect an understanding of hormonal therapy, which is the treatment plan specified.
Choice B rationale:
Avoiding irritants or allergens is important for overall vaginal health, but it does not specifically indicate comprehension of hormonal therapy for AV.
Choice C rationale:
This choice demonstrates understanding of potential side effects and complications associated with hormonal therapy, such as abnormal bleeding and breast changes. Monitoring for such changes is vital.
Choice D rationale:
The mention of completing a course of oral antibiotics is unrelated to the treatment plan for atrophic vaginitis, which involves hormonal therapy.
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