A nurse is educating a patient about preventing bacterial vaginosis (BV) Which of the following strategies should the nurse recommend to the patient? (Select all that apply)
Avoiding douching.
Using condoms or other barrier methods during sexual intercourse.
Limiting sexual partners.
Treating underlying conditions, such as diabetes mellitus.
Using hormonal therapy as prescribed.
Correct Answer : A,B,C,D
Choice A rationale:
Avoiding douching is recommended to prevent bacterial vaginosis (BV) as douching can disrupt the natural vaginal flora and increase the risk of BV.
Choice B rationale:
Using condoms or other barrier methods during sexual intercourse helps reduce the risk of BV transmission, as it prevents the introduction of potentially harmful bacteria into the vagina.
Choice C rationale:
Limiting sexual partners can lower the risk of BV, as having multiple sexual partners may increase the likelihood of exposure to different bacteria that can disrupt the vaginal flora.
Choice D rationale:
Treating underlying conditions, such as diabetes mellitus, is important because uncontrolled diabetes can create an environment conducive to BV development due to elevated glucose levels.
Choice E rationale:
Using hormonal therapy as prescribed is not directly related to preventing BV. Hormonal therapy typically pertains to conditions like hormone replacement therapy and is not a preventive measure for BV.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A vaginal pH less than 4.5 is within the normal acidic range and does not specifically support the suspicion of atrophic vaginitis (AV)
Choice B rationale:
Presence of motile trichomonads indicates trichomoniasis, not atrophic vaginitis (AV)
Choice C rationale:
Thin and loss of rugae (folds) of vaginal mucosa is a characteristic finding in atrophic vaginitis (AV) This condition occurs due to decreased estrogen levels, leading to thinning and drying of vaginal tissues.
Choice D rationale:
A thin, gray-white, or milky vaginal discharge is more suggestive of other infections or conditions and is not a specific sign of atrophic vaginitis (AV)
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.
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