A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?
"Apply scented baby powder to absorb residual moisture."
"Wear a feminine deodorant pad for vaginal drainage."
"Wear nylon underwear at night."
"Apply a warm, moist compress three times per day."
The Correct Answer is D
A. Applying scented baby powder can irritate the sensitive vaginal area and exacerbate vulvovaginitis symptoms, increasing the risk of allergic reactions and discomfort. Fragrance-free and gentle hygiene measures are preferred to avoid further irritation.
B. Wearing feminine deodorant pads is discouraged because these products often contain fragrances and chemicals that can cause irritation or allergic reactions, worsening vulvovaginitis symptoms. They also do not address the underlying inflammation or infection.
C. Nylon underwear is non-breathable and can trap moisture, creating a warm, damp environment that promotes bacterial and yeast growth, worsening vulvovaginitis. Cotton underwear is recommended as it allows better air circulation and keeps the area dry.
D. Applying a warm, moist compress helps soothe irritation, reduce inflammation, and relieve discomfort associated with vulvovaginitis. This method promotes healing and provides symptomatic relief without introducing irritants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F","H"]
Explanation
Rationale for Correct Answers:
- Hemoglobin: A hemoglobin of 9.5 g/dL is low and may indicate anemia, which is concerning in a child presenting with infection and signs of poor perfusion (e.g., delayed capillary refill).
- Pain assessment: The child reports a pain level of 7/10 with associated irritability and nuchal rigidity, which may indicate meningeal irritation or neurologic involvement.
- Neurologic assessment: Lethargy, irritability, and nuchal rigidity strongly suggest possible bacterial meningitis, which can progress rapidly and requires immediate intervention.
- Peripheral pulses: Diminished radial and pedal pulses (+1) alongside a capillary refill of 4 seconds suggest impaired perfusion, potentially due to sepsis or early shock.
- Temperature: A fever of 38.7°C (101.7°F) in a child with neurologic signs increases concern for central nervous system infection like meningitis.
Rationale for Incorrect Choices:
- Glucose: The glucose level of 90 mg/dL is within normal limits for an 8-year-old and does not currently indicate hypoglycemia or hyperglycemia requiring intervention.
- Abdominal assessment: The abdomen is flat, non-distended, and with active bowel sounds, suggesting no acute abdominal pathology at this time.
- WBC: While elevated at 14,000/mm³, the WBC count aligns with a likely infection and is expected; it does not independently require immediate intervention unless trends worsen.
Correct Answer is ["89"]
Explanation
Calculation:
- Convert the child's weight from pounds (lb) to kilograms (kg).
Weight in kg = 13 lb / 2.2 lb/kg
= 5.909 kg.
- Calculate the total daily dose in milligrams (mg).
Total daily dose (mg) = Prescribed dose (mg/kg/day) × Weight (kg)
= 30 mg/kg/day × 5.909 kg
= 177.27 mg/day.
- Determine the number of doses per day.
Doses are given every 12 hr, so Number of doses per day = 24 hours / 12 hours
= 2 doses/day.
- Calculate the dose per administration in milligrams (mg).
Dose per administration (mg) = Total daily dose (mg) / Number of doses per day
= 177.27 mg / 2 doses
= 88.635 mg.
- Round the answer to the nearest whole number.
= 89 mg.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.