A female patient comes to the free clinic complaining of a gray-white discharge that clings to the external vulva and vaginal walls. A Nurse Practitioner assesses the patient and diagnoses Gadnerella vaginalis
What would be the most appropriate nursing action at this time?
A) Advise the patient that she may have a sexually transmitted disease (STD).
B) Obtain a specimen for vaginal smear (wet mount).
C) Describe the vaginal discharge in documentation as normal.
D) Administer vaginal suppositories.
Ans: A
Feedback: Gray-white discharge that clings to the external vulva and vaginal walls is indicative of Gardnerella vaginalis. Obtaining a specimen would be done before the diagnosis is made. Documenting the finding comes after talking with the patient about the diagnosis. Administering vaginal supporitories would come in the treatment phase of caring for the patient.
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