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

Choice A rationale:

Antibiotics are not typically used to treat Trichomonas vaginalis, as it is a protozoan infection rather than a bacterial infection.

Choice B rationale:

Antifungals are also not appropriate for treating Trichomonas vaginalis, as it is not a fungal infection.

Choice C rationale:

Antiprotozoals are the correct treatment for Trichomonas vaginalis infection. Metronidazole is commonly prescribed to treat this type of vulvovaginitis.

Choice D rationale:

Topical creams may be used for other types of vulvovaginitis, but they are not the primary treatment for Trichomonas vaginalis.

Choice E rationale:

Hormonal therapy is not indicated for the treatment of vulvovaginitis caused by Trichomonas vaginalis.

Choice A rationale:

Vaginal itching is a common symptom of vulvovaginitis but not a potential adverse effect of antibiotics. It is more indicative of the condition itself rather than a medication side effect.

Choice B rationale:

A fishy odor is characteristic of bacterial vaginosis (BV), not a common adverse effect of antibiotics. BV is caused by an imbalance in vaginal flora and is not directly related to antibiotic therapy.

Choice C rationale:

Increased vaginal discharge is a potential adverse effect of antibiotics. Antibiotics can disrupt the normal vaginal flora, leading to an overgrowth of yeast or other pathogens, which may result in increased discharge.

Choice D rationale:

Photosensitivity is unrelated to antibiotics or vulvovaginitis. It refers to an increased sensitivity to sunlight or artificial light and is not a relevant consideration in this context.