A patient is being seen by her health care provider for a suspected vaginal infection. What will the nurse include when educating this patient on factors that affect the vaginal pH? (Select all that apply.)
a. Antibiotic therapy
b. Frequent douching
c. Exercise
d. Jet lag
e. Use of vaginal sprays
ANS: A, B, E
The vagina is self-cleansing and during the reproductive years maintains a normal acidic pH of 4 to 5. The self-cleansing activity may be altered by antibiotic therapy, frequent douching, and excessive use of vaginal sprays, deodorant sanitary pads, or deodorant tampons.
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