A nurse in a gynecology office is caring for a client who reports vaginal itching and discharge in the last week.
The discharge is described as thick and “smelly.”. The client reports pain with urination and sexual intercourse.
The discharge became worse after their menstrual period this month.
The client has been treated for STIs in the past and is currently sexually active in a new relationship.
The provider has been notified, and a vaginal swab for culture and nucleic acid amplification testing (NAAT) has been performed.
Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Choice A rationale

Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of vaginal itching and discharge.

Choice B rationale

The client’s symptoms are indicative of Bacterial Vaginosis (BV), a common vaginal infection in women of reproductive age. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.

Choice C rationale

An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.

Choice D rationale

Douching is generally not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to further complications.

Choice E rationale

Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.

Choice A rationale

Regular exercise is generally safe and beneficial for pregnant women. It can help manage weight gain, improve mood and energy levels, and reduce pregnancy discomfort. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy as long as the woman feels comfortable and her healthcare provider has not indicated otherwise.

Choice B rationale

Activities that elevate body temperature, such as saunas and hot tubs, are not recommended during pregnancy. High body temperatures can be harmful to the fetus, especially during the first trimester.

Choice C rationale

Exercise during pregnancy is generally recommended unless there are specific health concerns or complications that make it unsafe. It’s always important for pregnant women to consult with their healthcare provider before starting or continuing an exercise regimen.

Choice D rationale

While stretching activities can be a part of a balanced exercise routine during pregnancy, they should not be the only form of exercise. A combination of aerobic and strength-conditioning exercises is typically recommended.