A client calla the clinic and tells the nurse they have thick white, curd-like discharge from the vagina. How should the nurse best interpret this preliminary information?

The discharge is physiologic and normal

The client may have a candida species infection.

The client needs a Pap smear as soon as possible.

Answer and Explanation

The Correct Answer is B

Thick white, curd-like discharge is a common symptom of a yeast infection, which is caused by an overgrowth of candida. However, it is important to note that other conditions, such as bacterial vaginosis or Trichomonas infection, can also cause changes in vaginal discharge.

Therefore, further assessment and evaluation by a healthcare provider is necessary to determine the underlying cause and appropriate treatment plan. A Pap smear is not indicated based on the client's symptoms.

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Correct Answer is A

Explanation

a. Intense itching and dysuria

d. Thick white cottage cheese-like discharge

Common symptoms of a yeast infection may include itching, burning, and redness in the vaginal area. Some women may also experience pain or discomfort during sexual intercourse or while urinating. It is important for the nurse to conduct a thorough assessment and obtain a detailed history from the student to determine the appropriate course of action, such as recommending over-the-counter treatments or referring the student to a healthcare provider for further evaluation and treatment.

A. “You can use this at any time. even when you are menstruating.” B. “Keep the sponge in place for at least 6 hours after intercourse.” C. “You need to have the sponge fited before using it.” D. “Clean the with mild soap and water after using it.”

Correct Answer is B

Explanation

The contraceptive sponge is a barrier method of contraception that is inserted into the vagina before sexual intercourse. It contains spermicide and blocks the sperm from reaching the egg. The sponge must be left in place for at least 6 hours after intercourse before it is removed. Don't leave it in for more than a total of 30 hours.

a. "You can use this at any time, even when you are menstruating" is incorrect information because the contraceptive sponge should not be used during menstruation.

c. "You need to have the sponge fited before using it" is incorrect information because the contraceptive sponge is a one-size-fits-all device and does not require fitting.

d. "Clean the with mild soap and water after using it" is also incorrect information because the contraceptive sponge is a disposable device and should be discarded after use. It should not be reused or washed.

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A client calla the clinic and tells the nurse they have thick white, curd-like discharge from the vagina. How should the nurse best interpret this preliminary information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are the nurse at a community high school. A student calls the office and says she thinks she has a “yeast infection”. What signs and symptoms should the nurse expect?

Correct Answer is A

Explanation

The nurse is teaching methods of contraception with a young client. The client decides on the contraceptive sponge as her method of choice Which information should the Nurse include in the teaching?

Correct Answer is B

Explanation

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