A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

Syphilitic chancre

Trichomoniasis vaginitis

Bacterial vaginosis

Candidal vaginitis

Answer and Explanation

The Correct Answer is D

Choice A reason: Syphilitic chancre is a painless ulcer, not itchy with white discharge. This STD lacks the erythematous, swollen, thick discharge presentation, excluding it from matching the client’s vaginal symptoms entirely and accurately in this case here.
Choice B reason: Trichomoniasis causes frothy, yellow-green discharge with itching, not thick white. This parasitic infection’s discharge differs from the observed curd-like consistency, making it less likely than candidiasis for this clinical picture fully here.
Choice C reason: Bacterial vaginosis produces thin, gray discharge with fishy odor, not thick white or intense itching. This bacterial imbalance contrasts with the erythematous, swollen findings, ruling it out as the suspected condition comprehensively here.
Choice D reason: Candidal vaginitis, from yeast, causes thick, white, curd-like discharge, itching, and erythema. This matches the client’s swollen labia and mucosal redness, making it the most likely diagnosis for these vaginal symptoms accurately here fully.

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Correct Answer is C

Explanation

Choice A reason: Morphine treats severe pain but isn’t first-line for headaches worsened by coughing, which may signal increased intracranial pressure. Without neurological assessment, this risks masking symptoms of serious conditions like brain tumors, delaying critical diagnosis and intervention.

Choice B reason: Palpating occipital lymph nodes checks for infection or inflammation, but headaches worsened by coughing or sneezing suggest intracranial issues, not lymphatic ones. This action misses the priority of assessing brain function tied to the client’s specific symptom pattern.

Choice C reason: Neurological assessment, like checking reflexes or pupil response, is vital for morning headaches worsening with coughing, hinting at possible intracranial pressure from masses or bleeds. It’s the most direct step to rule out life-threatening causes promptly.

Choice D reason: Explaining migraines assumes a diagnosis without evidence. Morning headaches improving later, worsened by strain, don’t align with typical migraine patterns, risking misdiagnosis of serious conditions like sinus thrombosis, necessitating neurological evaluation over premature reassurance.

A. Brachial B. Ulnar C. Femoral D. Radial

Correct Answer is B

Explanation

Choice A reason: Brachial pulse, in the upper arm, is strong and palpable in healthy adults, used for blood pressure cuffs. Its deep location ensures consistent detection, unlike weaker pulses, making it reliably felt across most individuals without vascular issues here.

Choice B reason: Ulnar pulse, near the wrist’s pinky side, is often faint or not palpable in many healthy people due to its depth and smaller artery size. This variability distinguishes it as less detectable compared to other major pulses consistently.

Choice C reason: Femoral pulse, in the groin, is robust and palpable in healthy adults, reflecting large artery flow to the legs. Its prominence ensures detection, unlike the ulnar, making it a standard check not commonly absent in normal assessments fully.

Choice D reason: Radial pulse, at the wrist’s thumb side, is easily palpable in healthy clients, a key vital sign check. Its superficial location ensures consistent detection, contrasting with the ulnar’s frequent elusiveness in normal peripheral exams entirely here.

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A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client comes in with complaints of a headache. The client states, "I always wake up with a headache in the morning, but it gets better in a couple hours. I notice that it always gets worse if I cough or sneeze." What action by the nurse is most appropriate?

Correct Answer is C

Explanation

The nurse is performing a peripheral vascular assessment of an adult client. The nurse is palpating the client's peripheral pulses but knows that some are not palpable, even in healthy clients. What pulse is not palpable in a large proportion of healthy clients?

Correct Answer is B

Explanation

A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

A client comes to the clinic with complaints of intense itching to their vaginal area. Upon inspection, the nurse notes swollen labia, erythema to the vaginal mucosa with thick, white discharge. What condition might the nurse suspect?

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