A client with vulvovaginitis is prescribed antibiotics. The nurse should monitor the client for which potential adverse effect?
Vaginal itching.
Fishy odor.
Increased vaginal discharge.
Photosensitivity.
The Correct Answer is C
Choice A rationale:
Vaginal itching is a common symptom of vulvovaginitis but not a potential adverse effect of antibiotics. It is more indicative of the condition itself rather than a medication side effect.
Choice B rationale:
A fishy odor is characteristic of bacterial vaginosis (BV), not a common adverse effect of antibiotics. BV is caused by an imbalance in vaginal flora and is not directly related to antibiotic therapy.
Choice C rationale:
Increased vaginal discharge is a potential adverse effect of antibiotics. Antibiotics can disrupt the normal vaginal flora, leading to an overgrowth of yeast or other pathogens, which may result in increased discharge.
Choice D rationale:
Photosensitivity is unrelated to antibiotics or vulvovaginitis. It refers to an increased sensitivity to sunlight or artificial light and is not a relevant consideration in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not related to hormonal changes but rather an overgrowth of bacteria causing an imbalance in the vaginal ecosystem.
Choice B rationale:
Candidal vulvovaginitis (CV) is a fungal infection and is not primarily caused by hormonal changes.
Choice C rationale:
Trichomonas vaginalis (TV) is a sexually transmitted infection and is not directly linked to hormonal changes.
Choice D rationale:
Atrophic vaginitis (AV) occurs due to hormonal changes, specifically a decrease in estrogen levels that can lead to thinning and inflammation of vaginal tissues. Estrogen deficiency commonly occurs during menopause or aging, leading to symptoms like vaginal dryness and discomfort.
Correct Answer is C
Explanation
Choice A rationale:
Lubricants and moisturizers are commonly used for symptom relief in atrophic vaginitis (AV), but this choice does not reflect an understanding of hormonal therapy, which is the treatment plan specified.
Choice B rationale:
Avoiding irritants or allergens is important for overall vaginal health, but it does not specifically indicate comprehension of hormonal therapy for AV.
Choice C rationale:
This choice demonstrates understanding of potential side effects and complications associated with hormonal therapy, such as abnormal bleeding and breast changes. Monitoring for such changes is vital.
Choice D rationale:
The mention of completing a course of oral antibiotics is unrelated to the treatment plan for atrophic vaginitis, which involves hormonal therapy.
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