A nurse is caring for a client with vulvovaginitis caused by Candida albicans. Which intervention should the nurse include in the client's care plan?
Encouraging the use of vaginal douches.
Applying a topical corticosteroid cream.
Using hormonal therapy.
Promoting good hygiene practices.
The Correct Answer is D
Choice A rationale:
Encouraging the use of vaginal douches is not recommended for vulvovaginitis caused by Candida albicans. Douching can disrupt the vaginal pH balance and lead to further irritation or infection.
Choice B rationale:
Applying a topical corticosteroid cream is not a suitable intervention for Candida albicans-related vulvovaginitis. Corticosteroids can suppress the immune response and potentially worsen fungal infections.
Choice C rationale:
Using hormonal therapy is not indicated for treating Candida albicans vulvovaginitis. This condition is primarily fungal in nature and requires antifungal treatment, not hormonal therapy.
Choice D rationale:
Promoting good hygiene practices is essential in managing Candida albicans vulvovaginitis. Proper hygiene helps maintain a healthy vaginal environment and reduces the risk of fungal overgrowth. Emphasizing the importance of gentle cleansing and avoiding irritants is crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Education empowers the patient to prevent recurrence by understanding the causes and symptoms of foreign body-related vulvovaginitis, contributing to long-term management.
Choice B rationale:
Administering specific treatments like antivirals, antiparasitics, or antibiotics addresses the acute phase but does not focus on preventing future occurrences or patient education.
Choice C rationale:
Encouraging good hygiene and cotton underwear is essential, but it is more reactive than providing education for long-term prevention.
Choice D rationale:
Monitoring for complications is important, but the nurse should prioritize patient education to promote proactive management and prevention.
Ebola.
Correct Answer is C
Explanation
Choice A rationale:
Anaerobic bacteria typically cause a foul-smelling discharge, which doesn't match the described symptoms.
Choice B rationale:
Fungal infections result in a thick, white, cottage cheese-like discharge, different from the green-yellow frothy discharge mentioned.
Choice C rationale:
Protozoa, specifically Trichomonas vaginalis, cause green-yellow frothy discharge with a foul odor, closely resembling the client's symptoms.
Choice D rationale:
Low estrogen levels would not cause this specific presentation; they're more associated with vaginal dryness and thinning of vaginal walls.
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