Chapter 5 Women's Health: Commonly Occurring Infections

Chapter 5   Women’s Health: Commonly Occurring Infections

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) A nonpregnant client is diagnosed with bacterial vaginosis (BV). What does the nurse expect to administer?

1. Penicillin G 2 million units IM one time
2. Zithromax 1 mg p.o. b.i.d. for 2 weeks
3. Doxycycline 100 mg p.o. b.i.d. for a week
4. Metronidazole 500 mg p.o. b.i.d. for a week

Answer:  4

Explanation:  4. The nonpregnant woman who is diagnosed with bacterial vaginosis (BV) is treated with metronidazole 500 mg orally twice a day for 7 days.

Page Ref: 75

Cognitive Level:  Understanding

Client Need/Sub:  Physiological Integrity: Pharmacological and Parenteral Therapies

Standards:  QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan, and in all healthcare settings. | NLN Competencies: Context and Environment: Apply professional standards; show accountability for nursing judgment and actions; develop advocacy skills; apply ethical decision making models. | Nursing/Integrated Concept: Nursing Process: Planning

Learning Outcome:  1 Compare vulvovaginal candidiasis and bacterial vaginosis.

MNL LO:  6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic infection.

 

 

2) The nurse is providing discharge instructions to a client with a diagnosis of vulvovaginal candidiasis (VVC), and knows the client understands when she makes which of the following statements?

1. “I need to apply the miconazole for 10 days.”
2. “I need to douche daily.”
3. “I need to add yogurt to my diet.”
4. “I need to wear nylon panties.”

Answer:  3

Explanation:  3. Yogurt helps reestablish normal vaginal flora.

Page Ref: 76

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concept: Nursing Process: Evaluation

Learning Outcome:  1 Compare vulvovaginal candidiasis and bacterial vaginosis.

MNL LO:  6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic infection.

3) The nurse is caring for a client in the clinic whom she suspects has vaginosis. Which test best determines whether this sexually active woman has the disorder?

1. The observation of mycelia upon direct microscopy in a 10% potassium hydroxide preparation
2. The addition of a 10% potassium hydroxide solution to the vaginal secretions
3. A vaginal pH of less than 4.5
4. A Gram stain positive for the fungus

Answer:  2

Explanation:  2. Adding a 10% potassium hydroxide solution to the vaginal secretion of a client with bacterial vaginosis, called a “whiff” test, produces a fishy smell.

Page Ref: 74

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan, and in all healthcare settings | NLN Competencies: Context and Environment: Read and interpret data; apply health promotion/disease prevention strategies; apply health policy; conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concept: Nursing Process: Diagnosis

Learning Outcome:  1 Compare vulvovaginal candidiasis and bacterial vaginosis.

MNL LO:  6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic infection.

 

4) A pregnant client at 24 weeks’ gestation is diagnosed with bacterial vaginosis. Her doctor orders Flagyl to treat the problem. What would be appropriate education for the nurse to provide?

1. The client must be careful to observe for signs of preterm labor.
2. The client should advise her partner to seek therapy as soon as possible.
3. The main side effect of the medication is a large amount of vaginal discharge.
4. A repeat culture should be taken 2 weeks after completing the therapy.

Answer:  1

Explanation:  1. Clients with bacterial vaginosis are at risk for preterm labor.

Page Ref: 74

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concept: Nursing Process: Implementation

Learning Outcome:  1 Compare vulvovaginal candidiasis and bacterial vaginosis.

MNL LO:  6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic infection.

 

5) A client has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the client, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions?

1. Clients can infect their sexual partners.
2. The nurse is required by law to ask the questions.
3. Clients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.
4. The laboratory needs a full client history in order to know for which organisms and antibiotic sensitivities it should test.

Answer:  3

Explanation:  3. The change in normal flora increases the woman’s susceptibility to other organisms, making the client more vulnerable to sexually transmitted diseases, including HIV.

Page Ref: 74

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concept: Nursing Process: Diagnosis

Learning Outcome:  1 Compare vulvovaginal candidiasis and bacterial vaginosis.

MNL LO:  6.2.1 Recognize client behaviors associated with the acquisition of sexually transmitted infections.