Which finding would the nurse expect in a client with bacterial vaginosis?
Vaginal pH of 3
Cervical bleeding on contact
Fishy odor of discharge
Yellowish-green discharge
The Correct Answer is C
Choice A: Vaginal pH of 3 is not the correct answer because it is not a finding of bacterial vaginosis. Vaginal pH is a measure of how acidic or alkaline the vaginal environment is. A normal vaginal pH ranges from 3.8 to 4.5, which helps prevent infections by maintaining a balance of healthy bacteria (lactobacilli). Bacterial vaginosis can cause an increase in vaginal pH above 4.5, which allows harmful bacteria (anaerobes) to grow and cause symptoms.
Choice B: Cervical bleeding on contact is not the correct answer because it is not a finding of bacterial vaginosis. Cervical bleeding on contact is a sign of inflammation or injury to the cervix, which is the lower part of the uterus that connects to the vagina. It can be caused by various factors such as infection, trauma, or cancer. Bacterial vaginosis does not affect the cervix directly, but it can increase the risk of other infections or complications that may cause cervical bleeding.
Choice C: Fishy odor of discharge is the correct answer because it is a finding of bacterial vaginosis. The fishy odor of discharge is a characteristic symptom of bacterial vaginosis that occurs due to the breakdown of organic compounds (amines) by the anaerobic bacteria. The odor is usually more noticeable after sexual intercourse or during menstruation.
Choice D: Yellowish-green discharge is not the correct answer because it is not a finding of bacterial vaginosis. Yellowish-green discharge is a sign of infection or inflammation of the vagina or cervix, such as trichomoniasis, gonorrhea, or chlamydia. These infections can cause symptoms such as itching, burning, or pain in the genital area. Bacterial vaginosis usually causes a thin, gray-white, or milky discharge that does not cause irritation or discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Fluid balance is not the most likely priority because it is not directly affected by the mastectomy. Fluid balance is the state of equilibrium between the intake and output of fluids in the body. It can be influenced by various factors such as hydration, nutrition, medication, or illness. It can be monitored by measuring vital signs, weight, urine output, or laboratory values. Fluid balance is important for maintaining homeostasis and preventing dehydration or edema, but it is not a specific concern for a client undergoing a mastectomy.
Choice B: Body image is the most likely priority because it is directly affected by the mastectomy. Body image is the perception and attitude that one has toward one's own physical appearance and function. It can be influenced by various factors such as culture, media, self-esteem, or feedback from others. It can be assessed by observing verbal and nonverbal cues, asking open-ended questions, or using standardized tools. Body image is a major psychosocial issue for a client undergoing a mastectomy, as it can affect one's sense of identity, femininity, sexuality, or attractiveness. The nurse should address body image by providing information, support, and referral to appropriate resources.
Choice C: Urinary elimination is not the most likely priority because it is not directly affected by the mastectomy. Urinary elimination is the process of expelling urine from the bladder through the urethra. It can be influenced by various factors such as fluid intake, kidney function, medication, or infection. It can be assessed by measuring urine volume, color, odor, or specific gravity. Urinary elimination is important for maintaining fluid balance and preventing urinary tract infection or retention, but it is not a specific concern for a client undergoing a mastectomy.
Choice D: Activity is not the most likely priority because it is not directly affected by the mastectomy. Activity is the level of physical movement and exercise that one engages in on a daily basis. It can be influenced by various factors such as age, health status, motivation, or environment. It can be assessed by observing mobility, endurance, strength, or coordination. Activity is important for maintaining muscle tone, joint range of motion, circulation, or metabolism, but it is not a specific concern for a client undergoing a mastectomy.
Correct Answer is B
Explanation
Choice A: "Don't worry, I will be with you during the exam." This response is not appropriate because it does not address the client's feelings or concerns. It also may sound dismissive or patronizing to the client, who may have valid reasons to be nervous.
Choice B: "What part of the exam makes you most nervous?" This response is appropriate because it shows empathy and interest in the client's perspective. It also invites the client to express her fears or questions and allows the nurse to provide information and reassurance.
Choice C: "All you need to do is relax." This response is not appropriate because it does not acknowledge the client's feelings or concerns. It also may sound unrealistic or insensitive to the client, who may find it hard to relax in a stressful situation.
Choice D: "A pelvic exam is required if you want birth control pills." This response is not appropriate because it does not address the client's feelings or concerns. It also may sound coercive or threatening to the client, who may feel pressured or intimidated by the requirement.
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