A nurse is providing patient education to a client with trichomoniasis vaginitis (TV) Which statement by the client indicates a need for further teaching?
"I will abstain from sexual contact until both partners are treated and cured.”
"I should avoid alcohol consumption during treatment with metronidazole.”
"Using condoms or other barrier methods during sexual intercourse can prevent transmission.”
"I will continue the hormonal therapy even if I experience abnormal bleeding.”
The Correct Answer is D
Choice A rationale:
Abstaining from sexual contact until both partners are treated and cured is an appropriate measure to prevent re-infection and transmission of trichomoniasis vaginitis (TV)
Choice B rationale:
Avoiding alcohol consumption during treatment with metronidazole is necessary, as alcohol can interact with this medication and cause adverse reactions.
Choice C rationale:
Using condoms or other barrier methods during sexual intercourse can prevent transmission of TV and is an accurate statement.
Choice D rationale:
Continuing hormonal therapy despite experiencing abnormal bleeding is concerning, as it may indicate an adverse reaction or need for further evaluation. This statement highlights a need for further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Lactobacilli overgrowth can lead to a fishy odor, particularly in bacterial vaginosis (BV) The overgrowth disrupts the normal vaginal pH.
Choice B rationale:
A viral infection wouldn't cause a fishy odor. Viruses like human papillomavirus (HPV) might cause genital warts but not this specific odor.
Choice C rationale:
Protozoa, such as Trichomonas vaginalis, cause a distinct odor, but it's not typically described as fishy.
Choice D rationale:
Allergic reactions to douches might cause irritation, itching, or redness, but they wouldn't lead to a fishy odor.
Correct Answer is D
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not related to hormonal changes but rather an overgrowth of bacteria causing an imbalance in the vaginal ecosystem.
Choice B rationale:
Candidal vulvovaginitis (CV) is a fungal infection and is not primarily caused by hormonal changes.
Choice C rationale:
Trichomonas vaginalis (TV) is a sexually transmitted infection and is not directly linked to hormonal changes.
Choice D rationale:
Atrophic vaginitis (AV) occurs due to hormonal changes, specifically a decrease in estrogen levels that can lead to thinning and inflammation of vaginal tissues. Estrogen deficiency commonly occurs during menopause or aging, leading to symptoms like vaginal dryness and discomfort.
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