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":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"},"G":{"answers":"A"}}
Explanation
- Administer broad-spectrum antibiotics: Prompt initiation of antibiotics is critical in suspected bacterial meningitis to prevent rapid progression and reduce neurological complications. Treatment should begin even before culture results return. Delay in treatment increases the risk of morbidity and mortality.
- Implement isolation precautions: Droplet precautions should be initiated immediately due to the possibility of meningococcal meningitis, which is highly contagious. These precautions protect healthcare staff and other patients. Isolation continues until 24 hours after antibiotics are started.
- Assist with a lumbar puncture: Lumbar puncture is a primary diagnostic tool to confirm meningitis and identify the pathogen in cerebrospinal fluid. It helps guide targeted antibiotic therapy. This should be done after initiating antibiotics if there's no contraindication.
- Administer an antipyretic: Fever increases metabolic demand and can worsen neurologic symptoms like seizures or confusion. Antipyretics like acetaminophen help reduce fever and improve comfort. Controlling temperature also stabilizes cardiovascular and respiratory effort. This supports overall treatment goals.
- Encourage ambulation: The child is lethargic, photophobic, and has altered mental status, making ambulation unsafe and unnecessary. Activity can increase intracranial pressure or fall risk. Rest is important during acute neurologic illness. Mobility is not a priority until the child stabilizes.
- Provide external stimulation: Children with meningitis often experience neurologic hypersensitivity and irritability. External stimulation, such as bright lights or loud noises, can worsen symptoms. A calm, quiet environment is needed to reduce distress. Limiting stimulation aids in neurologic recovery.
- Initiate seizure precautions: Meningitis increases the risk of seizures due to inflammation of the brain and elevated temperature. Altered mental status and photophobia further heighten this risk. Seizure precautions include padded side rails and having emergency medications ready. Safety preparation is essential.
Correct Answer is B
Explanation
A. Ask her if she is ready to eat her sandwich for lunch: This question is closed-ended and might prompt resistance, as toddlers often respond negatively to direct commands or yes/no questions that limit their sense of control.
B. Ask her if she would like to have her favorite sandwich for lunch: Offering a choice with a positive option gives the toddler a sense of autonomy while guiding them toward a preferred food. This approach can reduce negativism by providing limited, acceptable choices.
C. Tell her she is having her favorite sandwich for lunch: This directive removes the toddler’s ability to choose, which may increase resistance or oppositional behavior during mealtime.
D. Tell her that she may have a sandwich or soup for lunch: While offering choices is good, this statement is more authoritative than inviting and may not engage the toddler’s cooperation as effectively as phrasing it as a question.
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