A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:

candidiasis

Chlamydia

bacterial vaginosis

trichomoniasis

Answer and Explanation

The Correct Answer is A

Choice A rationale: candidiasis - The described symptoms of inflammation, cottage

cheese-like discharge, and vaginal/vulvar inflammation are indicative of a yeast infection or candidiasis.

Choice B rationale: Chlamydia - Chlamydia often presents with different symptoms such as discharge, but it's not typically associated with a cottage cheese-like appearance.

Choice C rationale: bacterial vaginosis - Bacterial vaginosis typically presents with a different type of discharge, often described as "fishy" smelling, rather than a cottage cheese appearance.

Choice D rationale: trichomoniasis - Symptoms of trichomoniasis usually include frothy, malodorous discharge, not consistent with the described cottage cheese-like discharge.

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Correct Answer is A

Explanation

Choice A rationale: This instruction helps to promote airflow and prevent moisture accumulation, aiding in vaginitis recovery.

Choice B rationale: Yogurt with live cultures containing lactobacilli can actually help restore the natural balance of bacteria in the vagina and can be beneficial for some types of vaginitis.

Choice C rationale: Oral contraceptives are not a treatment for vaginitis and do not impact the condition.

Choice D rationale: Douching can disrupt the vaginal pH and natural bacterial balance, potentially exacerbating vaginitis.

A. a client with nausea, vomiting, and abdominal pain B. a client with chest tightness and heartburn C. a client with facial drooping and left-sided weakness D. a client with fatigue, fever, and productive cough

Correct Answer is C

Explanation

Choice A rationale: A client with nausea, vomiting, and abdominal pain may have gastroenteritis, food poisoning, or appendicitis, which are not directly related to the eyes.

Choice B rationale: A client with chest tightness and heartburn may have gastroesophageal reflux disease (GERD), angina, or myocardial infarction (MI), which are also not associated with the eyes.

Choice C rationale: A client with facial drooping and left-sided weakness may have a stroke, which is a medical emergency that requires immediate attention. An eye examination can help detect signs of stroke, such as pupil asymmetry, visual field defects, or eye movement abnormalities. A stroke can cause permanent brain damage or death if not treated promptly.

Choice D rationale: A client with fatigue, fever, and productive cough may have a respiratory infection, such as pneumonia or tuberculosis, which are unlikely to affect the eyes unless there is a systemic complication.

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A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is giving discharge instructions to a client recently diagnosed with vaginitis. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

Which client should receive the pictured examination first?

Correct Answer is C

Explanation

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