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)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Initiation of antibiotic therapy is not the primary intervention for severe dehydration in gastroenteritis. Fluid replacement is crucial to correct the fluid and electrolyte imbalances.
Choice B rationale:
Administration of antidiarrheal agents is contraindicated in cases of severe dehydration. These agents can delay the elimination of the causative agent and further worsen fluid loss.
Choice C rationale:
Oral rehydration therapy (ORT) is effective for mild dehydration but may not be sufficient in cases of severe dehydration where oral intake is limited.
Choice D rationale:
Intravenous fluid therapy (IVF) is the appropriate intervention for severe dehydration. IV fluids rapidly restore fluid balance and correct electrolyte imbalances, ensuring timely rehydration and preventing complications.
Correct Answer is D
Explanation
Choice A rationale:
Abstaining from sexual contact until both partners are treated and cured is an appropriate measure to prevent re-infection and transmission of trichomoniasis vaginitis (TV)
Choice B rationale:
Avoiding alcohol consumption during treatment with metronidazole is necessary, as alcohol can interact with this medication and cause adverse reactions.
Choice C rationale:
Using condoms or other barrier methods during sexual intercourse can prevent transmission of TV and is an accurate statement.
Choice D rationale:
Continuing hormonal therapy despite experiencing abnormal bleeding is concerning, as it may indicate an adverse reaction or need for further evaluation. This statement highlights a need for further teaching.
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