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 D

Explanation

Choice A rationale
A negative rubella titer does not necessarily mean that the client is not currently experiencing a rubella infection. The titer measures immunity to the disease, not the presence of an active infection.
Choice B rationale
A negative rubella titer indicates that the client is not immune to the rubella virus. This means that she has not been vaccinated against the disease or has not had it in the past.
Choice C rationale
While a rubella vaccination could be beneficial for a client with a negative rubella titer, it is not typically given during pregnancy due to the theoretical risk to the fetus. The rubella vaccine is a live vaccine, and while there is no evidence of harm to the fetus, it is generally avoided during pregnancy as a precaution.
Choice D rationale
This is the correct interpretation of the data. A client with a negative rubella titer should receive a rubella immunization following delivery to protect against future infections.

A. “Prenatal vitamins will meet your need for increased vitamin D during pregnancy.”. B. “Vitamin E requirements decline during pregnancy due to the increase in body fat.”. C. “You will need to increase your calcium intake during breastfeeding.”. D. “You will need to double your intake of iron during pregnancy.”.

Correct Answer is A

Explanation

Choice A rationale
Prenatal vitamins are often recommended to pregnant individuals to meet their increased nutritional needs, including the need for increased vitamin D567. Vitamin D is essential for the absorption of calcium, promoting bone health for both the mother and the baby.
Choice B rationale
Vitamin E requirements do not decline during pregnancy. In fact, the need for all essential vitamins and minerals generally increases during pregnancy to support the growth and development of the fetus.
Choice C rationale
While it is true that calcium intake is important during breastfeeding, this statement does not specifically address the nutritional needs during pregnancy. During pregnancy, adequate calcium intake is crucial for the development of the baby’s bones and teeth.
Choice D rationale
Iron intake does need to increase during pregnancy, but not necessarily double. Iron is essential for the production of hemoglobin, the protein in red blood cells that carries oxygen to other cells.

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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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Explanation

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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?