A nurse is assessing a client with vulvovaginitis who complains of a fishy odor. Which statement by the nurse is appropriate?
"This odor is caused by the overgrowth of lactobacilli.”
"The fishy odor is due to a viral infection.”
"The fishy odor indicates the presence of protozoa.”
"The odor is a result of allergic reaction to douches.”
The Correct Answer is A
Choice A rationale:
Lactobacilli overgrowth can lead to a fishy odor, particularly in bacterial vaginosis (BV) The overgrowth disrupts the normal vaginal pH.
Choice B rationale:
A viral infection wouldn't cause a fishy odor. Viruses like human papillomavirus (HPV) might cause genital warts but not this specific odor.
Choice C rationale:
Protozoa, such as Trichomonas vaginalis, cause a distinct odor, but it's not typically described as fishy.
Choice D rationale:
Allergic reactions to douches might cause irritation, itching, or redness, but they wouldn't lead to a fishy odor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Limiting sexual partners is a crucial preventive measure for vulvovaginitis. This reduces the risk of exposure to potential infections that can lead to vulvovaginitis. Multiple sexual partners can increase the chances of contracting sexually transmitted infections (STIs) and other pathogens.
Choice B rationale:
Avoiding the use of condoms is not a recommended preventive measure. Condoms provide a barrier against STIs and other infectious agents, reducing the risk of vulvovaginitis. Therefore, this choice is not appropriate for prevention.
Choice C rationale:
Using scented detergents for laundry is not advisable. Scented products can disrupt the natural pH balance of the vagina, leading to irritation and an increased risk of vulvovaginitis. Unscented or mild detergents are preferable to maintain vaginal health.
Choice D rationale:
Increasing the intake of sugary foods is not recommended for vulvovaginitis prevention. High sugar consumption can lead to an overgrowth of yeast (Candida albicans) in the vaginal area, potentially causing vulvovaginitis. Therefore, this choice contradicts preventive measures.
Correct Answer is A
Explanation
Choice A rationale:
Education empowers the patient to prevent recurrence by understanding the causes and symptoms of foreign body-related vulvovaginitis, contributing to long-term management.
Choice B rationale:
Administering specific treatments like antivirals, antiparasitics, or antibiotics addresses the acute phase but does not focus on preventing future occurrences or patient education.
Choice C rationale:
Encouraging good hygiene and cotton underwear is essential, but it is more reactive than providing education for long-term prevention.
Choice D rationale:
Monitoring for complications is important, but the nurse should prioritize patient education to promote proactive management and prevention.
Ebola.
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