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The nurse is caring for a client who has experienced repeated episodes of vaginitis. Which assessment finding does the nurse explain is the most likely cause?
- A. Tub baths preferred over shower
- B. Healthy sex life
- C. Occasional use of vinegar douches
- D. Type 2 diabetes mellitus
Correct Answer: D
Rationale: Unregulated blood sugars can result in alteration of the vaginal environment and promote the presence of glycogen in vaginal mucus, which supports the growth of microorganisms. Monitoring and controlling blood sugars would be key in a client with diabetes. Tub baths and participation in a healthy sex life are not associated with vaginitis. Frequent douching should be avoided.
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The nurse is providing an educational ver?£o on toxic shock syndrome (TSS) to a group of adolescents. Which preventive measure does the nurse focus on for this group?
- A. If using tampons, change frequently.
- B. Do not use vaginal devices for birth control.
- C. Toxic is associated with multiple sex partners.
- D. Use good personal hygiene.
Correct Answer: A
Rationale: Toxic shock syndrome is often associated with the use of supersorbent tampons that are not changed frequently. The infection can also be introduced through unclean birth control devices or keeping the device in place too long after use. Good personal hygiene and safe sexual practices should also be addressed but they are not specific to TSS.
A client with vaginitis complains of itching and burning of the perineum. Which suggestion by the nurse would be most appropriate to relieve the client's symptoms?
- A. Use a pure vinegar douche daily.
- B. Use skin protectants containing zinc oxide.
- C. Take sitz baths frequently.
- D. Avoid yogurt with active lactobacilli cultures.
Correct Answer: C
Rationale: Sitz baths are recommended to relieve the client's itching and burning as well as relieve swelling of the vulva and perineum. Skin protectants containing zinc oxide promote healing. Routine douching should be avoided. Taking Lactobacillus acidophilus in capsule form or eating yogurt containing active cultures of lactobacilli can help restore normal vaginal microoorganisms.
A client is admitted to the hospital with the diagnosis of sepsis secondary to pelvic inflammatory disease. Which transmission-based precaution will be initiated by the nurse?
- A. Standard precautions
- B. Protective precautions
- C. Contact precautions
- D. Droplet precautions
Correct Answer: C
Rationale: Contact isolation is a category of transmission-based precautions for controlling the spread of infectious microorganisms found in body fluids. Standard precautions are used in the care of all clients in the prevention of HIV and hepatitis. Protective precautions are instituted when a client is immune compromised and needs protected from others. Droper precautions are not indicated with PID.
The nurse is caring for a client who has just been diagnosed with o endometriosis. The client has been hoping to have children with her partner. Which statement by the nurse is most appropriate to provide the client with support and guidance about treatment options?
- A. Treatment is essential, so you really need to make a decision pretty quickly.
- B. If it was me, I would probably choose the medication options.
- C. If might help to include your partner in any of the discussion about options.
- D. The test results are clear and another physician would tell you the same thing.
Correct Answer: C
Rationale: The nurse assists the client through the decision-making process as it applies to family planning and medical or surgical treatment. Suggesting that the client include a partner or significant other in the discussion of options would be most helpful and therapeutic. The client does not need to make a decision immediately. The nurse should not give advice or offer personal opinions to influence the client's choice. The nurse should support the client's option of seeking a second opinion.
Which assessment finding will most likely influence the treatment regimen selected by a client with endometriosis?
- A. Presence of pain
- B. Family planning
- C. Dysmenorrhea
- D. Presence of chocolate cyst
Correct Answer: B
Rationale: Selection of a more conservative option may be indicated to preserve the possibility for future childbearing. Pain, dysmenorrhea, and chocolate cysts are all symptoms associated with endometriosis and can influence decision for treatment.