A nurse is teaching a group of young women about vulvovaginitis prevention. Which of the following measures should the nurse recommend to reduce the risk of vulvovaginitis?

Limiting sexual partners.

Avoiding the use of condoms.

Using scented detergents for laundry.

Increasing the intake of sugary foods.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Limiting sexual partners is a crucial preventive measure for vulvovaginitis. This reduces the risk of exposure to potential infections that can lead to vulvovaginitis. Multiple sexual partners can increase the chances of contracting sexually transmitted infections (STIs) and other pathogens.

Choice B rationale:

Avoiding the use of condoms is not a recommended preventive measure. Condoms provide a barrier against STIs and other infectious agents, reducing the risk of vulvovaginitis. Therefore, this choice is not appropriate for prevention.

Choice C rationale:

Using scented detergents for laundry is not advisable. Scented products can disrupt the natural pH balance of the vagina, leading to irritation and an increased risk of vulvovaginitis. Unscented or mild detergents are preferable to maintain vaginal health.

Choice D rationale:

Increasing the intake of sugary foods is not recommended for vulvovaginitis prevention. High sugar consumption can lead to an overgrowth of yeast (Candida albicans) in the vaginal area, potentially causing vulvovaginitis. Therefore, this choice contradicts preventive measures.

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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.

A. Vaginal pH less than 4.5. B. Presence of motile trichomonads on microscopic examination. C. Thin and loss of rugae (folds) of vaginal mucosa on examination. D. Vaginal discharge that is thin, gray-white, or milky.

Correct Answer is C

Explanation

Choice A rationale:

A vaginal pH less than 4.5 is within the normal acidic range and does not specifically support the suspicion of atrophic vaginitis (AV)

Choice B rationale:

Presence of motile trichomonads indicates trichomoniasis, not atrophic vaginitis (AV)

Choice C rationale:

Thin and loss of rugae (folds) of vaginal mucosa is a characteristic finding in atrophic vaginitis (AV) This condition occurs due to decreased estrogen levels, leading to thinning and drying of vaginal tissues.

Choice D rationale:

A thin, gray-white, or milky vaginal discharge is more suggestive of other infections or conditions and is not a specific sign of atrophic vaginitis (AV)

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A nurse is teaching a group of young women about vulvovaginitis prevention. Which of the following measures should the nurse recommend to reduce the risk of vulvovaginitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with vulvovaginitis who complains of a fishy odor. Which statement by the nurse is appropriate?

Correct Answer is A

Explanation

A client reports experiencing vaginal dryness and atrophy. The nurse suspects atrophic vaginitis (AV) Which assessment finding supports this suspicion?

Correct Answer is C

Explanation

A client with vulvovaginitis is prescribed antibiotics. The nurse should monitor the client for which potential adverse effect?

A client with gastroenteritis is experiencing severe dehydration. The nurse should anticipate the need for which intervention?

A nurse is caring for a client with vulvovaginitis caused by Candida albicans. Which intervention should the nurse include in the client's care plan?

A client with vulvovaginitis reports experiencing dysuria, green-yellow frothy discharge, and foul odor. What should the nurse suspect as the most likely causative agent?

A nurse is planning care for a client with vulvovaginitis. Which treatment is appropriate for Trichomonas vaginalis (TV) infection?

A client with gastroenteritis is prescribed ondansetron for persistent vomiting. Which action should the nurse take before administering the medication?

A nurse is providing patient education to a client with trichomoniasis vaginitis (TV) Which statement by the client indicates a need for further teaching?

A nurse is educating a patient about preventing bacterial vaginosis (BV) Which of the following strategies should the nurse recommend to the patient? (Select all that apply)