A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. During the health history, which of these questions should the nurse prioritize?
a. "When was the last time you visited the physician?"
b. "Has this condition affected your eating habits?"
c. "What medications are you currently taking?"
d. "Are you able to sleep at night?"
C
The body contains normal flora (microorganisms) that live on the surface of skin, saliva, oral mucosa, gastrointestinal tract, and genitourinary tract. The normal flora of the vagina causes vaginal secretions to achieve a low pH. This inhibits the growth of many microorganisms. Antibiotics and oral contraceptives can disrupt normal flora in the vagina, causing an overgrowth of Candida albicans in that area. It is important to ask the patient about current medications to obtain information that may assist with diagnosis. Visiting the physician is important for the patient's health maintenance. Learning about the patient's eating and sleeping habits will assist in the plan of care.
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