The nurse is collecting information from a patient during her ...

[meagbuch]

The nurse is collecting information from a patient during her annual pelvic examination. The patient reports that she has noted a strong vaginal odor after intercourse. Which condition may be present?
 
  a. Gonorrhea
  b. Bacterial vaginosis
  c. Chlamydia
  d. Syphilis

Question 2

The nurse is caring for a patient with suspected dysphagia. Which action is most appropriate for the nurse to take?
 
  a. Encourage incentive spirometry use.
  b. Instruct the patient to take practice swal-lows before the meal.
  c. Encourage patient attempts to communi-cate, and pay attention to nonverbal cues.
  d. Encourage the patient to keep a food di-ary.

[scottmt]

Answer to Question 1

C
Chlamydia may cause a strong vaginal odor noted after sexual intercourse. Gonorrhea causes va-ginal discharge and a difficulty voiding. Bacterial vaginosis is associated with a fishy vaginal odor and discharge. Syphilis causes a chancre sore.

Answer to Question 2

B
Dysphagia means difficulty in swallowing. The nurse should have the patient take some practice swallows before beginning the meal, and watch to see that the larynx rises with each swallow. Incentive spirometry usage is important or patients with dyspnea, or shortness of breath. Encouraging communication and paying attention to nonverbal cues is an effective intervention for aphasia (inability to use or understand words). Keeping a food diary may be useful in cases of polyphagia (extreme hunger), but it does not evaluate whether or not the patient can swallow ef-fectively.