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?
Avoiding sexual intercourse.
Using scented soaps for cleansing.
Limiting sexual partners.
Douching regularly.
The Correct Answer is C
Choice A rationale:
Avoiding sexual intercourse is not necessary for preventing vulvovaginitis. Maintaining good hygiene and other preventive measures are more relevant.
Choice B rationale:
Using scented soaps for cleansing can actually increase the risk of vulvovaginal irritation and infections. Unscented, gentle cleansers are recommended.
Choice C rationale:
Limiting sexual partners helps reduce the risk of sexually transmitted infections (STIs) that can lead to vulvovaginitis.
Choice D rationale:
Douching regularly is not advised, as it disrupts the natural balance of vaginal flora and increases the risk of infections and irritation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A vaginal pH less than 4.5 is within the normal acidic range and does not specifically support the suspicion of atrophic vaginitis (AV)
Choice B rationale:
Presence of motile trichomonads indicates trichomoniasis, not atrophic vaginitis (AV)
Choice C rationale:
Thin and loss of rugae (folds) of vaginal mucosa is a characteristic finding in atrophic vaginitis (AV) This condition occurs due to decreased estrogen levels, leading to thinning and drying of vaginal tissues.
Choice D rationale:
A thin, gray-white, or milky vaginal discharge is more suggestive of other infections or conditions and is not a specific sign of atrophic vaginitis (AV)
Correct Answer is A
Explanation
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.
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