A nurse in a gynecology office is caring for a client.

The client reports vaginal itching and discharge in the last week.

Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Have the client douche every morning and night.

Instruct the client to avoid alcohol for 72 hr after treatment.

Perform an oatmeal sitz bath

Administer metronidazole 2 g POx dose.

Recommend the client’s partner receive treatment.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Douching is not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to infections. Therefore, it is unlikely that a healthcare provider would prescribe this as a treatment for vaginal itching and discharge.
Choice B rationale
While avoiding alcohol for 72 hours after treatment is a common instruction when taking certain medications, it does not address the client’s symptoms of vaginal itching and discharge.
Choice C rationale
An oatmeal sitz bath can help soothe irritated skin, but it does not treat the underlying cause of vaginal itching and discharge.
Choice D rationale
Metronidazole is an antibiotic that is commonly used to treat bacterial vaginosis, a condition that can cause vaginal itching and discharge. Therefore, it is likely that the healthcare provider would prescribe this medication.
Choice E rationale
While it is important for sexual partners to be treated if a sexually transmitted infection is diagnosed, the client’s symptoms and medical record information provided do not indicate a sexually transmitted infection. Therefore, this choice is not the most appropriate.

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Correct Answer is B

Explanation

Choice A rationale
While blunt force trauma can indeed lead to placental abruption, it is not the most common risk factor. Such trauma is usually the result of an accident or injury, which are less common occurrences compared to other risk factors.
Choice B rationale
Hypertension is the most common risk factor for placental abruption. High blood pressure can cause the placenta to separate from the uterus, leading to abruption. This can occur as a result of chronic hypertension, or hypertension-related problems during pregnancy, including preeclampsia.
Choice C rationale
Cigarette smoking is a risk factor for placental abruption, but it is not the most common one. While smoking can increase the risk, hypertension is a more prevalent risk factor.
Choice D rationale
Cocaine use can increase the risk of placental abruption, but it is not the most common risk factor. The use of cocaine can constrict blood vessels, which can lead to placental abruption. However, hypertension is a more common risk factor.

A. Enlarged lymph nodes B. Darkened breast areola C. Deeply fissured nipples D. Slack soft breast tissue

Correct Answer is B

Explanation

Choice A rationale
Enlarged lymph nodes are not a typical finding related to breast changes in early pregnancy.
Choice B rationale
Darkened breast areolas are a common change in early pregnancy. This is due to hormonal changes that affect the skin’s pigmentation.
Choice C rationale
Deeply fissured nipples are not a typical change in early pregnancy. However, some women may experience nipple sensitivity or tenderness.
Choice D rationale
Slack soft breast tissue is not a typical change in early pregnancy. In fact, many women experience breast enlargement and firmness during this time.

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A nurse in a gynecology office is caring for a client. The client reports vaginal itching and discharge in the last week. Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Nursing Test Bank

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A nurse in a gynecology office is caring for a client.

The client reports vaginal itching and discharge in the last week.

Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?