A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and she has been using an over-the-counter cream for the past 2 days to treat it. The nurse's initial response should be to:
a. Inform the woman that vaginal creams may interfere with the Papanicolaou (Pap) test for which she is scheduled.
b. Reassure the woman that using vaginal cream is not a problem for the examination.
c. Ask the woman to describe the symptoms that indicate to her that she has a vaginal infection.
d. Ask the woman to reschedule the appointment for the examination.
C
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A Although this statement is true, the best response is for the nurse to inquire about the symptoms the woman is experiencing.
B Women should not douche, use vaginal medications, or have sexual intercourse for 24 to 48 hours before obtaining a Pap test.
C An important element of the history and physical examination is the woman's description of any symptoms she may be experiencing.
D Although the woman may need to reschedule a visit for her Pap test, her current symptoms should still be addressed.
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