A patient comes to the free clinic complaining of a gray-white discharge that clings to her external vulva and vaginal walls
A nurse practitioner assesses the patient and diagnoses Gardnerella vaginalis. What would be the most appropriate nursing action at this time?
A) Advise the patient that this is an overgrowth of normal vaginal flora.
B) Discuss the effect of this diagnosis on the patient's fertility.
C) Document the vaginal discharge as normal.
D) Administer acyclovir as ordered.
Ans: A
Feedback:
Gray-white discharge that clings to the external vulva and vaginal walls is indicative of an overgrowth of Gardnerella vaginalis. The patient's discharge is not a normal assessment finding. Antiviral medications are ineffective because of the bacterial etiology. This diagnosis is unlikely to have a long-term bearing on the patient's fertility.
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