A nurse is caring for a client diagnosed with vulvovaginal candidiasis (CV) What nursing interventions should the nurse implement for this client? (Select all that apply)
Administering oral or intravaginal antibiotics.
Educating the client on the causes, symptoms, and prevention of CV.
Providing comfort measures to relieve irritation and discomfort.
Encouraging the client to avoid sexual intercourse during treatment.
Advising the client to limit sexual partners.
Correct Answer : B,C,D
Choice A rationale:
Administering oral or intravaginal antibiotics is not appropriate for vulvovaginal candidiasis (CV) since it is caused by a fungal infection, not bacterial. Antifungal medications are the primary treatment.
Choice B rationale:
Educating the client on the causes, symptoms, and prevention of CV is essential to ensure the client understands the infection, its symptoms, and how to prevent recurrence.
Choice C rationale:
Providing comfort measures to relieve irritation and discomfort, such as soothing creams and warm sitz baths, helps alleviate the discomfort associated with CV.
Choice D rationale:
Encouraging the client to avoid sexual intercourse during treatment is advised to prevent further irritation and disruption of the vaginal flora.
Choice E rationale:
Advising the client to limit sexual partners is not a specific intervention for CV.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Anaerobic bacteria are not responsible for the described symptoms. They typically cause foul-smelling discharge with a different consistency.
Choice B rationale:
Fungi, such as Candida species, commonly cause vaginal candidiasis, which presents with thick, white, cottage cheese-like discharge. This matches the client's symptoms.
Choice C rationale:
Protozoa, like Trichomonas vaginalis, usually lead to a frothy, greenish-yellow discharge with a foul odor, which doesn't align with the client's presentation.
Choice D rationale:
Low estrogen levels would not directly cause this type of discharge. They might lead to vaginal dryness and thinning of vaginal walls, but not the specific discharge described.
Choice E rationale:
Human papillomavirus (HPV) doesn't typically cause the described discharge. It's associated with genital warts and cervical changes but not with this type of discharge.
Correct Answer is C
Explanation
Choice A rationale:
Bacterial vaginosis (BV) typically presents with a thin gray or white discharge and is associated with a fishy odor. It is not known for a green-yellow discharge.
Choice B rationale:
Candidal vulvovaginitis (CV) often presents with a white, thick, cottage cheese-like discharge, not a green-yellow discharge.
Choice C rationale:
Trichomonas vaginalis (TV) infection can result in a thin, frothy, green-yellow vaginal discharge with a foul musty odor. This infection is sexually transmitted and may also cause itching and irritation.
Choice D rationale:
Atrophic vaginitis (AV) is not associated with a frothy, green-yellow discharge but rather with symptoms related to estrogen deficiency and vaginal thinning.
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