A pregnant patient is experiencing a vaginal discharge and wants to douche. What should the nurse instruct the patient about this health practice?
A) Avoid routine douching.
B) Use an alkaline solution.
C) Use only a commercial solution.
D) Use a solution that has been chilled.
A
Feedback:
Douching while pregnant is contraindicated because the force of the irrigating fluid could cause the solution to enter the cervix and lead to uterine infection. In addition, douching alters the pH of the vagina, leading to an increased risk of vaginal bacterial growth. The alkalinity, purchase type, or temperature of the solution does not matter. The pregnant patient should not douche.
You might also like to view...
A client has a wound infection to the right arm. What comfort measure can the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Elevate the arm above the level of the heart. b. Order a fan to help cool the client if feverish. c. Place cool, wet cloths on top of the wound. d. Take the client's temperature every 4 hours.
What is true regarding the Medicare Prescription Drug Plan? (Select all that apply.)
a. It is included in Medicare Part A. b. There is a $250 deductible. c. Approximately 25% of prescription drug expenses are covered. d. Only prescriptions written by a medical physician are covered. e. It reimburses 95% of out-of-pocket ex-penses over $3600.
A patient with Parkinson's disease is taking levodopa/carbidopa [Sinemet] along with amanta-dine [Symmetrel] 400 mg/day to treat dyskinesias. The patient reports having increased dyskine-sias several months after beginning the amantadine
The nurse will contact the provider to discuss which action? a. Increasing the dose of amantadine [Sym-metrel] b. Interrupting treatment with amantadine for several weeks c. Ordering renal function tests d. Ordering another anticholinergic medica-tion
The prescriber orders a new drug over the telephone for a nursing home patient who has symptoms of a urinary tract infection. The order is for Gantanol, 2 g now and then 1 g every 12 hours for the next 10 days
What further information is most important for you to obtain from the prescriber? a. "How many refills are needed?" b. "Do you want the drug given orally or intravenously?" c. "Which brand of drug should be given, or is this a generic drug?" d. "Does this drug need to be given with a meal or on an empty stomach?"