The nurse sees a patient in the clinic who is diagnosed with pelvic inflammatory disease. What assessment finding does the nurse suspect as the possible cause of this infection?
a. Soaking in a hot bath every evening.
b. Skipping showers over the weekend
c. Wearing cotton underwear
d. Douching two times per week
D
Douching washes away protective bacteria that protect the vagina from infection, so this behavior will increase the patient's risk of pelvic inflammatory disease. Soaking in a hot bathtub is not likely to result in pelvic inflammatory disease. Daily showers and skipping showers on the weekend will not necessarily cause pelvic inflammatory disease. Wearing cotton underwear helps to wick moisture away from the perineal skin and reduces risk of pelvic inflammatory disease.
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