A nurse is providing education to a group of postmenopausal women about preventing vulvovaginitis. Which of the following strategies should the nurse include in the teaching?
Avoiding sexual intercourse.
Using scented soaps for cleansing.
Limiting sexual partners.
Douching regularly.
The Correct Answer is C
Choice A rationale:
Avoiding sexual intercourse is not necessary for preventing vulvovaginitis. Maintaining good hygiene and other preventive measures are more relevant.
Choice B rationale:
Using scented soaps for cleansing can actually increase the risk of vulvovaginal irritation and infections. Unscented, gentle cleansers are recommended.
Choice C rationale:
Limiting sexual partners helps reduce the risk of sexually transmitted infections (STIs) that can lead to vulvovaginitis.
Choice D rationale:
Douching regularly is not advised, as it disrupts the natural balance of vaginal flora and increases the risk of infections and irritation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Administering oral or intravaginal antibiotics is not appropriate for vulvovaginal candidiasis (CV) since it is caused by a fungal infection, not bacterial. Antifungal medications are the primary treatment.
Choice B rationale:
Educating the client on the causes, symptoms, and prevention of CV is essential to ensure the client understands the infection, its symptoms, and how to prevent recurrence.
Choice C rationale:
Providing comfort measures to relieve irritation and discomfort, such as soothing creams and warm sitz baths, helps alleviate the discomfort associated with CV.
Choice D rationale:
Encouraging the client to avoid sexual intercourse during treatment is advised to prevent further irritation and disruption of the vaginal flora.
Choice E rationale:
Advising the client to limit sexual partners is not a specific intervention for CV.
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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