A nurse is providing education to a group of postmenopausal women about preventing vulvovaginitis. Which of the following strategies should the nurse include in the teaching?

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)

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.