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 D
Explanation
A. You need to keep the area exposed to air and direct sunshine: Exposing the radiation site to direct sunlight can cause further skin damage, increase the risk of burns, and worsen irritation. The area should be protected from sunlight during and after radiation therapy.
B. You should get an abdominal binder and try to keep the area covered: While covering the area may protect it, using tight or restrictive items like an abdominal binder can cause friction and pressure, potentially worsening skin irritation and impairing circulation.
C. Apply some triple antibiotic ointment to help the dryness and itching: Topical antibiotics are not routinely recommended for radiation skin care unless there is an active infection. Overuse of ointments can sometimes trap moisture, leading to maceration or further skin breakdown.
D. Do not wash the area with strong soaps and do not rub the area dry, just pat it dry: Using mild soap and gently patting the skin dry helps preserve skin integrity by preventing additional irritation and dryness. This approach minimizes trauma to the sensitive irradiated skin and supports healing.
Correct Answer is B
Explanation
A. Obtain a prescription for lorazepam: Sedation may be used in some cases, but routinely sedating a toddler post-cleft lip and palate repair is not the first-line intervention to prevent incision site trauma.
B. Place the toddler in bilateral elbow restraints: Elbow restraints are commonly used to prevent toddlers from touching or injuring the surgical site after cleft lip and palate repair, protecting the incision during healing.
C. Place the child in a mummy restraint: Mummy restraints restrict the entire body and can increase distress and anxiety; they are generally avoided unless absolutely necessary.
D. Swaddle the toddler in a blanket: Swaddling can provide comfort and limit movement, but it is less effective than elbow restraints at specifically preventing the child from touching the incision site.
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