A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

"Treatment for vaginal yeast infections must be prescribed by the provider."

"Vaginal yeast infections present as a thick, white discharge."

"The use of oral contraceptives will decrease the risk for vaginal yeast infections."

"There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall."

Answer and Explanation

The Correct Answer is A

A.   "Treatment for vaginal yeast infections must be prescribed by the provider." This statement is correct because antifungal medications, which are required to treat vaginal yeast infections, are prescription-based.
B.   "Vaginal yeast infections present as a thick, white discharge." While this is a common symptom of vaginal yeast infections, it alone is not sufficient for diagnosis.
C.   "The use of oral contraceptives will decrease the risk for vaginal yeast infections." This statement is incorrect because oral contraceptives may sometimes increase the risk of vaginal yeast infections.

D.   "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall." This statement is incorrect because itching is a common symptom of vaginal yeast infections due to irritation caused by the overgrowth of yeast in the vaginal area.

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Correct Answer is C

Explanation

A. Herpes simplex virus can cause genital herpes, but it typically does not lead to pelvic inflammatory disease. Pelvic inflammatory disease is more commonly associated with untreated chlamydia or gonorrhea infections.
B. Syphilis during pregnancy can lead to various complications such as stillbirth, neonatal death, or congenital syphilis in the newborn, but low birth weight is not a typical complication.
C. Human papillomavirus (HPV) infection is a known risk factor for the development of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells,
which, if left untreated, may progress to cervical cancer.
D. Meningitis is not a typical complication of chlamydia in males. In males, untreated chlamydia can lead to complications such as epididymitis or infertility.

A. Reticulocyte count B. White blood count / Absolute neutrophil count C. Total lymphocyte count D. Platelet count

Correct Answer is B

Explanation

A. Reticulocyte count: Reticulocyte count measures immature red blood cells and is not the primary measure for the effectiveness of filgrastim, which is used to boost white blood cells.
B. White blood count / Absolute neutrophil count: Filgrastim (Neupogen) is used to increase white blood cells, specifically neutrophils. Therefore, monitoring the white blood count (WBC) and absolute neutrophil count (ANC) is the appropriate way to determine the effectiveness of the drug.
C. Total lymphocyte count: While lymphocytes are a type of white blood cell, filgrastim primarily affects neutrophils, making WBC/ANC a better indicator.
D. Platelet count: Filgrastim does not directly impact platelet production, so platelet count is not the primary measure of its effectiveness.

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A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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