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","E"]
Explanation
A. Abundant lanugo is incorrect because postmature newborns typically lose their lanugo before birth.
B. Vernix in the folds and creases is incorrect as vernix caseosa, the white, cheese-like substance covering the skin of the fetus, is often absent in postmature newborns due to it being absorbed as the gestation period extends beyond the normal term.
C. Short, soft fingernails are not expected in postmature newborns; instead, they may have long, overgrown nails.
D. Cracked, peeling skin is a common finding in postmature newborns due to prolonged exposure to amniotic fluid and a decrease in the protective vernix caseos
A.
E. A positive Moro reflex is a normal finding in newborns, including those who are postmature, indicating a healthy neurological response.
Correct Answer is C
Explanation
Rationale:
A. This statement is incorrect. The sex of the baby is determined at conception, based on whether the sperm carries an X or Y chromosome.
B. This statement is accurate, but it does not specifically address fetal development milestones.
C. "The baby's heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy." This statement is correct. Fetal heartbeat can typically be detected using a Doppler stethoscope around 10 to 12 weeks of pregnancy, providing an important milestone in prenatal care.
D. This statement is incorrect. Quickening, or the first perception of fetal movement by the mother, typically occurs around weeks 16 to 25 of pregnancy, with the first movements usually felt around week 18 to 20.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.