The nurse recognizes that which of the following women is most likely predisposed to developing a vaginal yeast infection?

a. A 23-year-old who eats a high-protein diet
b. A 38-year-old woman who frequently uses NSAIDs
c. A 31-year-old woman who runs 2 miles every day
d. A 28-year-old woman who sits at a desk 5 days a week


ANS: D
Several conditions can predispose patients to an overgrowth of resident microbes: poor nutrition (especially diets high in simple sugars), inconsistent control of blood glucose levels in patients with diabetes, stress, pregnancy, marked hormonal fluctuations, pH changes, prolonged overheating of the genital area with little aeration (as happens with sitting still for long periods in overly restrictive clothing), and changes in the balance of vaginal flora types because of antibiotic (not NSAID) treatment or douching.

Nursing

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