A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?
"Wear a feminine deodorant pad for vaginal drainage.”
"Apply a warm, moist compress three times per day."
"Wear nylon underwear at night."
"Apply scented baby powder to absorb residual moisture."
The Correct Answer is B
A. "Wear a feminine deodorant pad for vaginal drainage.": Deodorant pads contain chemicals and fragrances that can irritate the vaginal area and worsen vulvovaginitis. Instead, unscented cotton pads or liners are preferred if drainage management is needed.
B. "Apply a warm, moist compress three times per day.": Warm, moist compresses help relieve discomfort, reduce inflammation, and promote healing. This is an appropriate supportive measure for managing symptoms of vulvovaginitis.
C. "Wear nylon underwear at night.": Nylon underwear traps heat and moisture, creating an environment conducive to irritation and infection. Breathable cotton underwear is recommended to promote dryness and comfort.
D. "Apply scented baby powder to absorb residual moisture.": Scented powders can irritate the sensitive vulvar tissue and are not recommended. Good hygiene and breathable fabrics are safer ways to control moisture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Rationale for correct choices:
• IV hydromorphone: The child is in a vaso-occlusive crisis, where severe pain is the hallmark finding. IV opioids such as hydromorphone are the treatment of choice for rapid pain relief when pain reaches severe levels unrelieved by oral medications.
• Pain: The child reports escalating pain from 7/10 to 10/10 localized in the right knee with swelling and warmth, consistent with vaso-occlusion. Pain control is the immediate priority because inadequate management can worsen stress and sickling.
Rationale for incorrect choices:
• Fresh frozen plasma transfusion: This is not indicated in sickle cell crisis, as there is no coagulopathy or clotting factor deficiency. Plasma transfusion does not treat anemia or vaso-occlusive pain.
• Factor VIII: This therapy is specific to hemophilia A, which involves a clotting factor deficiency. It has no role in the management of sickle cell disease or vaso-occlusive crisis.
• Platelets: The child’s platelet count is elevated at 450,000/mm³, which reflects a reactive process but not a deficiency. Thrombocytopenia is not present, so platelet replacement is unnecessary.
Correct Answer is A
Explanation
A. 1 cup raw broccoli: Broccoli is a lactose-free vegetable that provides a good source of calcium, making it an excellent option for children with lactose intolerance who need to maintain bone health.
B. One slice white bread: White bread provides only minimal calcium, unless fortified, and does not contribute significantly to daily calcium requirements. It is not considered a reliable source of calcium.
C. 2 tbsp peanut butter: Peanut butter contains protein and some minerals, but it is low in calcium. It cannot meet the nutritional needs for bone development in children with lactose intolerance.
D. One poached egg: Eggs provide protein and other nutrients but very little calcium. They are not a suitable substitute for maintaining adequate calcium intake.
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