A nurse is assessing a client with vulvovaginitis who complains of a fishy odor. Which statement by the nurse is appropriate?
"This odor is caused by the overgrowth of lactobacilli.”
"The fishy odor is due to a viral infection.”
"The fishy odor indicates the presence of protozoa.”
"The odor is a result of allergic reaction to douches.”
The Correct Answer is A
Choice A rationale:
Lactobacilli overgrowth can lead to a fishy odor, particularly in bacterial vaginosis (BV) The overgrowth disrupts the normal vaginal pH.
Choice B rationale:
A viral infection wouldn't cause a fishy odor. Viruses like human papillomavirus (HPV) might cause genital warts but not this specific odor.
Choice C rationale:
Protozoa, such as Trichomonas vaginalis, cause a distinct odor, but it's not typically described as fishy.
Choice D rationale:
Allergic reactions to douches might cause irritation, itching, or redness, but they wouldn't lead to a fishy odor.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Abstaining from sexual contact until both partners are treated and cured is an appropriate measure to prevent re-infection and transmission of trichomoniasis vaginitis (TV)
Choice B rationale:
Avoiding alcohol consumption during treatment with metronidazole is necessary, as alcohol can interact with this medication and cause adverse reactions.
Choice C rationale:
Using condoms or other barrier methods during sexual intercourse can prevent transmission of TV and is an accurate statement.
Choice D rationale:
Continuing hormonal therapy despite experiencing abnormal bleeding is concerning, as it may indicate an adverse reaction or need for further evaluation. This statement highlights a need for further teaching.
Correct Answer is A
Explanation
Choice A rationale:
Trichomonas vaginalis (TV) infection is treated with medications that have activity against protozoa, such as metronidazole, clindamycin, tinidazole, or secnidazole. These drugs are effective in eradicating the infection.
Choice B rationale:
Oral fluconazole and topical azoles are used to treat fungal infections, such as candidiasis, not Trichomonas vaginalis (TV) infection.
Choice C rationale:
Hormonal therapy with estrogen creams, tablets, or rings is used for menopausal or postmenopausal symptoms, not for the treatment of Trichomonas vaginalis (TV) infection.
Choice D rationale:
Removal of foreign bodies or irritants is a general management strategy and is not specific to treating Trichomonas vaginalis (TV) infection.
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