The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. After treatment the client is reexamined, and the nurse practitioner finds presence of a white, cheesy discharge. What recommendation is necessary?
1. Referral to a surgeon for excision of infected tissue
2. Examination and treatment of sexual partner
3. Treatment with a stronger oral antibiotic
4. Routine douches with a topical antibiotic solution
Correct Answer: 2
Rationale 1: There is no need for tissue excision.
Rationale 2: Candidiasis is a sexually transmitted infection. It may be that this woman's sexual partner is also infected with candidiasis and that the couple is transmitting the infection between them.
Rationale 3: Antibiotic therapy is not indicated and may, in fact, complicate treatment.
Rationale 4: Antibiotic therapy is not indicated and may, in fact, complicate treatment.
You might also like to view...
The nurse has received shift change report on infants born within the last four hours. Which newborn should the nurse see first?
1. 37-week male, respiratory rate 45 2. 8 pound, 1 ounce female, pulse 150 3. Term male, grunting respirations 4. 1-day-old female who has not voided
A new AIDS patient is being admitted to your unit. While you are doing the admission assessment you are aware that you need to include what? (Mark all that apply.)
A) Patient's physical status B) Identification of potential risk factors C) All factors affecting immune system functioning D) The patient's biophysical profile E) History of sexual practices
The practice of changing patients' bedclothes each day in acute care settings is an example of what type of knowledge?
A) Authoritative B) Traditional C) Scientific D) Applied
Short-term goals related to substance abstinence include which of the following? (Select all that apply.)
a. "The patient will make a daily commitment to abstain.". b. "The patient will attend at least two support group meetings weekly.". c. "The patient will focus on improving the quality of the relationship with a significant other.". d. "The patient will call a supportive person when experiencing an urge to use an addictive substance.". e. "The patient will commit to provide support to others expressing an interest and need to abstain from addictive substances.".