Your postmenopausal 60-year-old female patient complains of vaginal irritation and pruritus of the external genitalia. She self-medicated with an over-the-counter anti-candida agent. However, the vaginal symptoms persist

The clinician should recognize that:
A. Over-the-counter medications do not treat all species of candida
B. Postmenopausal women are susceptible to trichomonas infection
C. Decreased estrogen makes vaginal mucosa susceptible to bacterial vaginosis
D. Irritation due to atrophic vaginal mucosa can mimic symptoms of candida


ANS: D
Although atrophic vaginitis is not an infection and does not cause a discharge, its signs and symptoms can mimic the C. albicans yeast vaginitis. It occurs in postmenopausal women as a result of a lack of estrogen.

Nursing

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A client's small-bore feeding tube has become occluded after the nurse administered medications. What actions by the nurse are best? (Select all that apply.)

a. Attempt to dissolve the clog by instilling a cola product. b. Determine if any of the medications come in liquid form. c. Flush the tube before and after administering medications. d. Mix all medications in the formula and use a feeding pump. e. Try to flush the tube with 30 mL of water and gentle pressure.

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What is the movement of an extremity away from the midline of the body called?

a. Abduction b. Adduction c. Flexion d. Extension

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A client's spouse reports that the last time the client received lorazepam (Ativan) before receiving chemotherapy, the client was extremely drowsy and didn't remember the trip home. Which is the nurse's best action?

a. Hold the dose of lorazepam for this round of chemotherapy. b. Explain that this is a normal response to the drug. c. Perform a Mini-Mental State Examination. d. Document the response in the client's chart.

Nursing

A 16-year-old patient in an outpatient setting with a body mass index of 35 tells the nurse, "I am going to lose weight by eliminating all fat from my diet." Which action should the nurse take first?

1. Contact the physician. 2. Notify the patient's parents. 3. Refer the patient to a dietitian. 4. Discuss the role of fat in metabolism.

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