For each medication below, click to select the appropriate nursing action.

(Each category can have zero or more response options selected)

Choice A rationale

Urinary tract infections primarily involve the urinary system, causing symptoms like dysuria, frequency, and urgency. While some overlap in symptoms might occur, the green-yellow vaginal discharge, itching, and foul odor are not typical of a UTI.

Choice B rationale

Trichomoniasis, caused by the parasite *Trichomonas vaginalis*, is a sexually transmitted infection that commonly presents with a frothy, green-yellow vaginal discharge, vulvar itching, and a distinct, often foul, odor. The client's recent unprotected sexual activity with new partners supports this possibility.

Choice C rationale

Herpes simplex virus typically causes painful vesicular lesions on the genitals, perineum, or cervix. While there might be some discomfort, the primary symptoms are the characteristic blisters, not typically a green-yellow discharge and foul odor.

Choice D rationale

Human papillomavirus (HPV) is a sexually transmitted infection that can cause genital warts or lead to cervical cancer. However, it typically does not present with a green-yellow vaginal discharge, itching, or a foul odor. Many HPV infections are asymptomatic. .

The correct answer is Choice A, Choice D, Choice E.

Choice A rationale

Pain during intercourse, also known as dyspareunia, is a common symptom of endometriosis. Endometrial tissue growing outside the uterus can infiltrate the pelvic organs and ligaments, causing pain and discomfort during sexual activity due to pressure and inflammation in these areas.

Choice B rationale

Painless heavy menstrual bleeding is not typically associated with endometriosis. Endometriosis is characterized by the presence of endometrial-like tissue outside the uterus, which responds to hormonal fluctuations of the menstrual cycle, often leading to painful periods (dysmenorrhea) and potentially heavy bleeding accompanied by pain.

Choice C rationale

Unexplained weight gain is not a typical symptom directly linked to endometriosis. While hormonal imbalances can occur with endometriosis, they do not usually manifest as unexplained weight gain. Other factors are more likely to contribute to weight changes.

Choice D rationale

Infertility is a significant concern for many individuals with endometriosis. The presence of endometrial implants, adhesions, and scarring in the pelvic cavity can distort the anatomy of the reproductive organs, interfering with ovulation, fertilization, and implantation of a fertilized egg.

Choice E rationale

Pain during the menstrual period, known as dysmenorrhea, is a hallmark symptom of endometriosis. The ectopic endometrial tissue undergoes cyclical bleeding and shedding, similar to the uterine lining, but this occurs outside the uterus, causing inflammation, pain, and potentially the formation of scar tissue and adhesions.