A nurse is caring for a client.
During the physical examination, the nurse observes small pinpoint open vesicles and pustules on the labia majora with clear drainage noted.
A thick, mucopurulent vaginal discharge is noted on the client’s perineal pad.
After reviewing the information in the client’s medical record, which of the following provider prescriptions should the nurse anticipate?

Choice A rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription A based on the information provided.

Choice B rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription B based on the information provided.

Choice C rationale

The client’s temperature is slightly elevated, which could indicate an infection or other medical condition. Prescription C might be an antibiotic or other medication to treat the suspected condition.

Choice D rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription D based on the information provided.

Choice A rationale

Aspirin is not typically recommended for cramps following a D&C. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are usually suggested for pain relief. Aspirin can increase the risk of bleeding, which is not desirable after a surgical procedure like a D&C2.

Choice B rationale

Products of conception will not be present in vaginal bleeding after a D&C. The purpose of a D&C is to remove tissue from the uterus, including any remaining products of conception following a miscarriage.

Choice C rationale

While a balanced diet is always important, there’s no specific recommendation for an increased intake of zinc-rich foods following a D&C. Good nutrition can support healing, but there’s no need to focus specifically on zinc.

Choice D rationale

Vaginal intercourse can be resumed after 2 weeks following a D&C. This allows time for the cervix to close and any post-procedure bleeding to stop. It’s also important to prevent infection.