Chapter 5 Commonly Occurring Infections
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.
1
Copyright 2016 Pearson Education, Inc.
,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 inf
2
Copyright 2016 Pearson Education, Inc.
ection.
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
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.
1
Copyright 2016 Pearson Education, Inc.
,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 inf
2
Copyright 2016 Pearson Education, Inc.
ection.
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
