A nurse is caring for a client with candidal vulvovaginitis (CV) Which statement is an appropriate assessment finding for this client?
"I have noticed a thin, frothy, green-yellow vaginal discharge.”
"I experience intense inflammation, itching, and burning in my genital area.”
"My vaginal discharge is thick, white, and clumpy with no odor.”
"I have no discharge, and my vaginal pH is greater than 5.0.”
The Correct Answer is C
Choice A rationale:
Thin, frothy, green-yellow vaginal discharge is indicative of trichomoniasis, not candidal vulvovaginitis (CV) Trichomoniasis typically presents with a foul-smelling discharge.
Choice B rationale:
While inflammation, itching, and burning are common symptoms of CV, they do not specifically describe the characteristic discharge associated with this condition.
Choice C rationale:
Thick, white, and clumpy vaginal discharge with no odor is a classic presentation of candidal vulvovaginitis (CV) The discharge is often described as resembling cottage cheese.
Choice D rationale:
A vaginal pH greater than 5.0 is suggestive of bacterial vaginosis, not candidal vulvovaginitis. In CV, the vaginal pH is usually normal (around 4-4.5)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is primarily associated with endogenous transmission, meaning it is caused by an overgrowth of normally occurring vaginal bacteria rather than being directly transmitted from another individual.
Choice B rationale:
While sexual transmission can play a role in the development of BV, it is not the primary mode of transmission for this condition.
Choice C rationale:
Vector transmission involves the transfer of pathogens by a vector such as a mosquito or tick and is not relevant to bacterial vaginosis.
Choice D rationale:
Contact transmission typically involves direct physical contact with an infected person or contaminated object, which is not the main mode of transmission for BV.
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