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 A
Explanation
Rationale:
A. Orthopnea, difficulty breathing while lying flat, is a common finding in individuals with heart failure as it helps to relieve pressure on the diaphragm and lungs.
B. Weight loss is less likely in heart failure and may indicate other issues such as malnutrition or metabolic disturbances.
C. Increased urine output is not typically associated with heart failure but rather with conditions such as diabetes insipidus or kidney disease.
D. Bradycardia, a slow heart rate, is not typically associated with heart failure, which often presents with tachycardia as the body compensates for decreased cardiac output.
Correct Answer is D
Explanation
Rationale:
A. Preterm delivery: While preterm delivery can result in low birth weight, it is not typically considered a direct cause of being small for gestational age (SGA). SGA infants are generally small because of intrauterine growth restriction rather than preterm birth.
B. Fetal hyperinsulinemia: Fetal hyperinsulinemia may lead to macrosomia (large for gestational age) rather than SG
A.
C. Perinatal asphyxia: Perinatal asphyxia refers to oxygen deprivation around the time of birth and is not typically associated with SG
A.
D. Placental insufficiency: Placental insufficiency, resulting in poor nutrient and oxygen transfer to the fetus, is a common cause of SG
A. Insufficient placental function can limit fetal growth,
leading to a newborn being small for their gestational age.
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