Which of the following should be included in the teaching plan when instructing a female client on the use of miconazole (Monistat) vaginal cream? Select all that apply
A) Discontinue drug during the menstrual period.
B) Avoid nylon and tight-fitting garments to avoid reinfection.
C) Wear a sanitary napkin after insertion to prevent staining of clothes and bed linens.
D) Do not have intercourse while taking the drug to avoid reinfection.
E) If there is no improvement in 2 days, stop using the drug and consult a physician.
Ans: B, C, D
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When instructing a female client on the use of miconazole (Monistat) vaginal cream, the nurse should include the following: inserting the drug high in the vagina using the applicator provided; wearing a sanitary napkin after insertion of the drug to prevent staining of clothes and bed linens; continuing the drug during the menstrual period; not having intercourse while taking the drug or advising her partner to use a condom to avoid reinfection; avoiding nylon and tight-fitting garments to avoid reinfection; stopping the drug and notifying the primary health care provider if there is no improvement in 5 to 7 days; and if abdominal pain, pelvic pain, rash, fever, or offensive-smelling vaginal discharge is present, not using the drug but notifying the physician.
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