A nurse is caring for a client with vulvovaginitis caused by Candida albicans. Which intervention should the nurse include in the client's care plan?
Encouraging the use of vaginal douches.
Applying a topical corticosteroid cream.
Using hormonal therapy.
Promoting good hygiene practices.
The Correct Answer is D
Choice A rationale:
Encouraging the use of vaginal douches is not recommended for vulvovaginitis caused by Candida albicans. Douching can disrupt the vaginal pH balance and lead to further irritation or infection.
Choice B rationale:
Applying a topical corticosteroid cream is not a suitable intervention for Candida albicans-related vulvovaginitis. Corticosteroids can suppress the immune response and potentially worsen fungal infections.
Choice C rationale:
Using hormonal therapy is not indicated for treating Candida albicans vulvovaginitis. This condition is primarily fungal in nature and requires antifungal treatment, not hormonal therapy.
Choice D rationale:
Promoting good hygiene practices is essential in managing Candida albicans vulvovaginitis. Proper hygiene helps maintain a healthy vaginal environment and reduces the risk of fungal overgrowth. Emphasizing the importance of gentle cleansing and avoiding irritants is crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not commonly transmitted from mother to child during delivery. It is primarily associated with an imbalance in vaginal bacteria.
Choice B rationale:
Candidal vulvovaginitis (CV), caused by the fungus Candida, can be transmitted from mother to child during delivery as the baby passes through the birth canal.
Choice C rationale:
Trichomonas vaginalis (TV) can also be transmitted from mother to child during delivery, but CV is a more common cause of transmission.
Choice D rationale:
Atrophic vaginitis (AV) is not typically transmitted from mother to child during delivery. It is often associated with hormonal changes during menopause.
Choice E rationale:
This option acknowledges other types of vulvovaginitis with various modes of transmission, but the specific question asks about transmission from mother to child during delivery. CV is the most appropriate choice in this context.
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