The nurse teaches the patient to administer butoconazole (Gynazole) for vaginal candidal infection. What instructions will the nurse supply?
A) "Fill the applicator with the medication and insert it into the vagina at bedtime."
B) "Apply the medication to the perineal area twice a day and wear white cotton underwear."
C) "Soak in a sitz bath twice daily and insert the medication into the vagina after the bath."
D) "Take one tablet by mouth and be sure to follow the medication with a full glass of water."
A
Feedback:
Butoconazole (Gynazole) is administered once daily and should be inserted high into the vagina with the patient remaining recumbent for at least 10 to 15 minutes after insertion. Using the medication at bedtime helps decrease losing the medication by gravity and extends the time the medication will be in contact with the vaginal wall. The medication is not usually applied to the perineum unless the infection has traveled outside the vagina. Sitz baths are contraindicated because fungi flourish in moist environments. This medication is not administered orally and can only be applied topically.
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