Which statement indicates that client teaching about vaginal infections has been effective?
1. "The fishy vaginal odor I have is caused by a bacterial infection."
2. "I can use this antiyeast medication weekly to prevent another infection."
3. "My diabetes is unrelated to the frequency of my vaginal yeast infections."
4. "I should douche weekly to prevent a recurrence of my bacterial vaginosis."
1
Explanation:
1. Bacterial vaginosis is characterized by a fishy vaginal odor and greenish discharge with a vaginal pH over 4.5.
2. Medication for vaginal yeast infections should be used as treatment, not prophylaxis. Using medication as prescribed is important client education. Medication should not be saved for future use.
3. Yeast vaginitis is more common in diabetic and pre-diabetic women. Four episodes or more per year of yeast vaginitis are an indication to screen a woman for diabetes.
4. Douching disrupts normal flora by washing out desirable bacteria; douching is not recommended.
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