A nurse is planning care for a client with vulvovaginitis. Which treatment is appropriate for Trichomonas vaginalis (TV) infection?

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.

Choice A rationale:

Anaerobic bacteria typically cause a foul-smelling discharge, which doesn't match the described symptoms.

Choice B rationale:

Fungal infections result in a thick, white, cottage cheese-like discharge, different from the green-yellow frothy discharge mentioned.

Choice C rationale:

Protozoa, specifically Trichomonas vaginalis, cause green-yellow frothy discharge with a foul odor, closely resembling the client's symptoms.

Choice D rationale:

Low estrogen levels would not cause this specific presentation; they're more associated with vaginal dryness and thinning of vaginal walls.