Olds' Maternal-Newborn Nursing and Women's Health, 10e (Davidson)

Chapter 5 Women's Health: Commonly Occurring Infections

1) A nonpregnant client is diagnosed with bacterial vaginosis (BV). What does the nurse expect
to administer?
1. Penicillin G 2 million units IM one time
2. Zithromax 1 mg p.o. b.i.d. for 2 weeks
3. Doxycycline 100 mg p.o. b.i.d. for a week
4. Metronidazole 500 mg p.o. b.i.d. for a week
Answer: 4
Explanation: 4. The nonpregnant woman who is diagnosed with bacterial vaginosis (BV) is
treated with metronidazole 500 mg orally twice a day for 7 days.
Page Ref: 75
Cognitive Level: Understanding
Client Need/Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience. | AACN Essentials Competencies: IX. 3.
Implement holistic, patient-centered care that reflects an understanding of human growth and
development, pathophysiology, pharmacology, medical management, and nursing management
across the health-illness continuum, across the lifespan, and in all healthcare settings. | NLN
Competencies: Context and Environment: Apply professional standards; show accountability for
nursing judgment and actions; develop advocacy skills; apply ethical decision making models. |
Nursing/Integrated Concept: Nursing Process: Planning
Learning Outcome: 1 Compare vulvovaginal candidiasis and bacterial vaginosis.
MNL LO: 6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic
infection.

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Copyright 2016 Pearson Education, Inc.

2) The nurse is providing discharge instructions to a client with a diagnosis of vulvovaginal

candidiasis (VVC), and knows the client understands when she makes which of the following
statements?
1. "I need to apply the miconazole for 10 days."
2. "I need to douche daily."
3. "I need to add yogurt to my diet."
4. "I need to wear nylon panties."
Answer: 3
Explanation: 3. Yogurt helps reestablish normal vaginal flora.
Page Ref: 76
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active
partnerships that promote health, safety and well-being, and self-care management. | AACN
Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health
counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up
throughout the lifespan. | NLN Competencies: Relationship-Centered Care: Communicate
information effectively; listen openly and cooperatively. | Nursing/Integrated Concept: Nursing
Process: Evaluation
Learning Outcome: 1 Compare vulvovaginal candidiasis and bacterial vaginosis.
MNL LO: 6.2.4 Utilize the nursing process in caring for women at risk for or with a gynecologic
infection.

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Copyright 2016 Pearson Education, Inc.