What form of vaginitis is this patient most likely to have?
5. A 55-year-old married homemaker comes to your clinic, complaining of 6 months of vaginal itching and discomfort with intercourse. She has not had a discharge and has had no pain with urination. She has not had a period in over 2 years. She has no other symptoms. Her past medical history consists of removal of her gallbladder. She denies use of tobacco, alcohol, and illegal drugs. Her mother has breast cancer and her father has coronary artery disease, high blood pressure, and Alzheimer's disease. On examination she appears healthy and has unremarkable vital signs. There is no lymphadenopathy with palpation of the inguinal nodes. Visualization of the vulva shows dry skin but no lesions or masses. The labia are somewhat smaller than usual. Speculum examination reveals scant discharge and the vaginal walls are red, dry, and bleed easily. Bimanual examination is unremarkable. The KOH whiff test produces no unusual odor and there are no clue cells on the wet prep.
A) Trichomonas vaginitis
B) Candida vaginitis
C) Bacterial vaginosis
D) Atrophic vaginitis
D) Atrophic vaginitis
The itching and pain with intercourse in atrophic vaginitis are due to the decreased amount of estrogen after menopause. There is generally scant discharge and the wet prep and KOH whiff test are unremarkable. Use of vaginal lubricants or hormonal replacement in selected patients often corrects the problem.
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The nurse is in the mall and observes a client slump to the floor. The nurse assesses the client and notes no pulse. The nurse calls for assistance to others in the mall and requests which piece of equipment?
A) A blood pressure cuff B) A cell phone to call 911 C) An automatic external defibrillator D) A stethoscope
What level of measurement does this scale represent? (1) less than $10,000 (2) $10,001 to $25,000 (3) $25,001 to $40,000 (4) greater than $40,000
a. Interval b. Nominal c. Ordinal d. Ratio
A client with the sex-linked (X-linked) recessive form of muscular dystrophy asks what this means for his children. What is the nurse's best response?
A. "Only your sons are at risk for this form of muscular dystrophy." B. "None of your children will get the disease, but your daughters may pass it on to their sons." C. "Only children you conceived after you developed muscular dystrophy are at risk for developing this disease." D. "Your children are not at risk for getting the muscular dystrophy unless your wife also has the disease."