ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 57 : Management of Patients with Female Reproductive Disorders Questions
Question 1 of 5
A nurse practitioner is examining a patient who presented at the free clinic with vulvar pruritus. For which assessment finding would the practitioner look that may indicate the patient has an infection caused by Candida albicans?
Correct Answer: A
Rationale: Candida albicans infection is characterized by itching and a scant white, cottage cheese-like discharge. Yellow-green discharge indicates Trichomonas vaginalis. Gray-white discharge and a fishy odor are signs of Gardnerella vaginalis.
Question 2 of 5
The nurse is planning health education for a patient who has experienced a vaginal infection. What guidelines should the nurse include in this program regarding prevention?
Correct Answer: C
Rationale:
To prevent vaginal infections, patients should avoid feminine hygiene products like sprays, wear cotton underwear instead of synthetic, avoid douching, and maintain daily bathing. Tight-fitting synthetic underwear and bubble baths increase infection risk.
Question 3 of 5
A patient has herpes simplex 2 viral infection (HSV2). The nurse recognizes that which of the following should be included in teaching the patient?
Correct Answer: D
Rationale: HSV-2 causes genital herpes, not cold sores (which are caused by HSV-1). It is not curable with antibiotics, as it is a viral infection. The virus is transmissible during active outbreaks. Treatment focuses on symptom relief.
Question 4 of 5
You are caring for a patient who has been diagnosed with genital herpes. When preparing a teaching plan for this patient, what general guidelines should be taught?
Correct Answer: A
Rationale: Handwashing reduces the risk of reinfection and spread to others or other body parts. Sunbathing does not eradicate the virus, and lesions should not be massaged with ointment to avoid irritation.
Touching lesions can lead to self-infection if hygiene is not maintained.
Question 5 of 5
A patient comes to the clinic complaining of a tender, inflamed vulva. Testing does not reveal the presence of any known causative microorganism. What aspect of this patients current health status may account for the patients symptoms of vulvitis?
Correct Answer: B
Rationale: Vulvitis, an inflammation of the vulva, may result from disorders like diabetes, which can predispose to inflammation due to altered immune response or glucose levels. Obesity, kidney disease, and allergies are less likely causes.