A nurse in a gynecology office is caring for a client.
Nurses' Notes
1000:
Client reports vaginal itching and discharge in the last week. Describes the discharge as thick and "smelly." Reports pain with urination and sexual intercourse. Verbalizes that the discharge became worse after their menstrual period this month. Reports has been treated for STIs in the past and is currently sexually active in a new relationship. Provider notified.
1035:
Vaginal swab for culture and nucleic acid amplification testing (NAAT) performed. Physical Examination
1015:
Labia majora and minora inflamed. Large amount of frothy, yellow-green, malodorous discharge observed.
Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?
(Select all that apply.)
Have the client douche every morning and night.
Instruct the client to avoid alcohol for 72 hr after treatment.
Administer metronidazole 2 g PO x 1 dose.
Recommend the client's partner receive treatment.
Perform an oatmeal sitz bath.
Correct Answer : B,C,D
A. Having the client douche every morning and night is not recommended as it can disrupt the natural balance of vaginal flora and exacerbate the condition. It may worsen symptoms and increase the risk of complications.
B. Instructing the client to avoid alcohol for 72 hours after treatment is not necessary in this scenario. Metronidazole is an antibiotic used to treat bacterial vaginosis and does not typically interact with alcohol.
C. Metronidazole is the treatment of choice for bacterial vaginosis, which is suggested by the client's symptoms (frothy, yellow-green, malodorous discharge) and the provider's likely diagnosis based on the clinical presentation.
D. Recommending the client's partner receive treatment is important to prevent reinfection or transmission of the infection. Bacterial vaginosis can be sexually transmitted, and treating both partners helps reduce the risk of recurrence.
E. Performing an oatmeal sitz bath may provide symptomatic relief for certain conditions, but it is not typically indicated for the treatment of bacterial vaginosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "Your baby should sleep at least 6 hours between feedings.": Newborns typically wake every 2-3 hours for feeding, so sleeping for 6 hours between feedings is not indicative of adequate breastfeeding.
B. "Your baby should burp after each feeding.": Burping is important for gas relief but does not necessarily indicate sufficient breastfeeding.
C. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.": The wake cycle after feeding is not a reliable indicator of sufficient breastfeeding.
D. "Your baby should wet 6 to 8 diapers per day.": Monitoring the number of wet diapers is a
reliable indicator of adequate breastfeeding. A newborn who is getting enough breast milk should produce at least 6 to 8 wet diapers per day, indicating sufficient hydration and nutrient intake.
Correct Answer is ["C","E"]
Explanation
A. Deep tendon reflexes are not mentioned in the notes, and there are no indications that they are abnormal or concerning based on the information provided.
B. The respiratory rate is within normal limits and is not significantly abnormal. There are no indications in the notes to suggest respiratory distress or other respiratory issues.
C. The client's symptoms of a severe headache, dizziness upon standing, and inability to remove rings, along with the elevated blood pressure, suggest potential cerebral
manifestations such as preeclampsia. These symptoms warrant further evaluation and intervention by the provider.
D. Fetal heart rate is within normal limits and does not indicate any immediate concerns based on the information provided.
E. The elevated blood pressure (160/96 mm Hg) is a significant finding and may indicate hypertension or preeclampsia, which requires immediate attention from the provider.
F. Gastrointestinal assessment findings are not mentioned in the notes, and there are no
indications of gastrointestinal issues that would warrant reporting to the provider at this time.
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