The nurse is giving discharge instructions to a client recently diagnosed with vaginitis.
Which of the following instructions should the nurse include?

Wear loose-fitting clothing and cotton underwear.

Abstain from eating yogurt.

Use oral contraceptives during sexual intercourse.

Practice regular douching.

Answer and Explanation

The Correct Answer is A

Choice A rationale: This instruction helps to promote airflow and prevent moisture accumulation, aiding in vaginitis recovery.

Choice B rationale: Yogurt with live cultures containing lactobacilli can actually help restore the natural balance of bacteria in the vagina and can be beneficial for some types of vaginitis.

Choice C rationale: Oral contraceptives are not a treatment for vaginitis and do not impact the condition.

Choice D rationale: Douching can disrupt the vaginal pH and natural bacterial balance, potentially exacerbating vaginitis.

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Correct Answer is B

Explanation

Choice A rationale: Localization of pain refers to the ability of an individual to pinpoint the exact location of pain, which is different from the described response.

Choice B rationale: Decorticate posturing involves the arms flexing inward toward the body, which is consistent with the observed response to nail bed pressure.

Choice C rationale: Decerebrate posturing involves extension and outward rotation of the arms, which is different from the described response.

Choice D rationale: Flexion withdrawal typically involves pulling away from a painful stimulus, which differs from the specific response observed in the scenario.

A. Perform active range of motion three times daily. B. Maintain the head of bed in a flat or 30 degree position. C. Teach measures to avoid the Valsalva maneuver. D. Monitor for Battle's sign every four hours.

Correct Answer is C

Explanation

Choice A rationale: Performing active range of motion exercises may not be safe or appropriate immediately following a hemorrhagic stroke.

Choice B rationale: Maintaining the head of bed flat or at a 30-degree position might be used for ischemic strokes but not necessarily for hemorrhagic strokes.

Choice C rationale: Teaching measures to avoid the Valsalva maneuver (straining during activities like defecation) helps prevent sudden increases in intracranial pressure, which can be detrimental after a hemorrhagic stroke.

Choice D rationale: Monitoring for Battle's sign (bruising behind the ears associated with basilar skull fracture) is not relevant in the care of a hemorrhagic stroke.

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The nurse is giving discharge instructions to a client recently diagnosed with vaginitis. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The nurse is giving discharge instructions to a client recently diagnosed with vaginitis.
Which of the following instructions should the nurse include?