A nurse is caring for a client with candidal vulvovaginitis (CV) Which statement is an appropriate assessment finding for this client?
"I have noticed a thin, frothy, green-yellow vaginal discharge.”
"I experience intense inflammation, itching, and burning in my genital area.”
"My vaginal discharge is thick, white, and clumpy with no odor.”
"I have no discharge, and my vaginal pH is greater than 5.0.”
The Correct Answer is C
Choice A rationale:
Thin, frothy, green-yellow vaginal discharge is indicative of trichomoniasis, not candidal vulvovaginitis (CV) Trichomoniasis typically presents with a foul-smelling discharge.
Choice B rationale:
While inflammation, itching, and burning are common symptoms of CV, they do not specifically describe the characteristic discharge associated with this condition.
Choice C rationale:
Thick, white, and clumpy vaginal discharge with no odor is a classic presentation of candidal vulvovaginitis (CV) The discharge is often described as resembling cottage cheese.
Choice D rationale:
A vaginal pH greater than 5.0 is suggestive of bacterial vaginosis, not candidal vulvovaginitis. In CV, the vaginal pH is usually normal (around 4-4.5)
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Correct Answer is D
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not related to hormonal changes but rather an overgrowth of bacteria causing an imbalance in the vaginal ecosystem.
Choice B rationale:
Candidal vulvovaginitis (CV) is a fungal infection and is not primarily caused by hormonal changes.
Choice C rationale:
Trichomonas vaginalis (TV) is a sexually transmitted infection and is not directly linked to hormonal changes.
Choice D rationale:
Atrophic vaginitis (AV) occurs due to hormonal changes, specifically a decrease in estrogen levels that can lead to thinning and inflammation of vaginal tissues. Estrogen deficiency commonly occurs during menopause or aging, leading to symptoms like vaginal dryness and discomfort.
Correct Answer is A
Explanation
Choice A rationale:
Trichomonas vaginalis (TV) infection is treated with medications that have activity against protozoa, such as metronidazole, clindamycin, tinidazole, or secnidazole. These drugs are effective in eradicating the infection.
Choice B rationale:
Oral fluconazole and topical azoles are used to treat fungal infections, such as candidiasis, not Trichomonas vaginalis (TV) infection.
Choice C rationale:
Hormonal therapy with estrogen creams, tablets, or rings is used for menopausal or postmenopausal symptoms, not for the treatment of Trichomonas vaginalis (TV) infection.
Choice D rationale:
Removal of foreign bodies or irritants is a general management strategy and is not specific to treating Trichomonas vaginalis (TV) infection.
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