A client with vulvovaginitis reports experiencing dysuria, green-yellow frothy discharge, and foul odor. What should the nurse suspect as the most likely causative agent?

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.

Choice A rationale:

Initiation of antibiotic therapy is not the primary intervention for severe dehydration in gastroenteritis. Fluid replacement is crucial to correct the fluid and electrolyte imbalances.

Choice B rationale:

Administration of antidiarrheal agents is contraindicated in cases of severe dehydration. These agents can delay the elimination of the causative agent and further worsen fluid loss.

Choice C rationale:

Oral rehydration therapy (ORT) is effective for mild dehydration but may not be sufficient in cases of severe dehydration where oral intake is limited.

Choice D rationale:

Intravenous fluid therapy (IVF) is the appropriate intervention for severe dehydration. IV fluids rapidly restore fluid balance and correct electrolyte imbalances, ensuring timely rehydration and preventing complications.