The nurse is reviewing the health histories of several patients scheduled for appointments in the health clinic. Which patient should the nurse recognize as being predisposed to developing a vaginal yeast infection?

a. A 23-year-old who eats a high-protein diet
b. A 31-year-old woman who runs 2 miles every day
c. A 38-year-old woman who frequently uses NSAIDs
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. A. Eating a high-protein diet, exercising daily, and using NSAIDs do not increase the risk of developing a vaginal yeast infection.

Nursing

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A nurse leader is considering using transformational leadership. Which advantage does the nurse hope to achieve utilizing this model?

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