Author Question: A client in the first trimester of pregnancy complains of a vaginal discharge and is concerned that ... (Read 142 times)

sammy · **on:** Jun 25, 2018

A client in the first trimester of pregnancy complains of a vaginal discharge and is concerned that the baby is infected. Which instructions by the nurse are appropriate?

Select all that apply.
A) Avoid douching.
B) Keep the vaginal area clean and wear cotton underwear.
C) See the healthcare provider to assess for a vaginal infection.
D) Limit bathing to 2 times a week.
E) Limit dairy products and use lactose-free products whenever possible.

Question 2

A client is brought into the emergency department after being in a motor vehicle accident. The client has suffered traumatic injury that may involve multiple body systems. Which is the priority nursing assessment for this client?

A) Breathing and ventilation
B) Circulation with hemorrhage control
C) Airway maintenance with cervical spine protection
D) Disability and neurological assessment

duke02 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B

One client discomfort seen in the first trimester of pregnancy is increased vaginal secretions. The nurse should instruct the client to keep the vaginal area clean and wear cotton underwear. The nurse should also instruct the client to avoid douching. The nurse should not instruct the client to limit bathing or dairy products; those actions will not decrease vaginal secretions and may offer other risks. The nurse should not suggest that the client has an infection because increased secretions are expected during the first trimester.

Answer to Question 2

Answer: C

When caring for the trauma victim the nurse must always prioritize assessments, with the ABCDEs as the highest-priority concerns. It is imperative that the nurse's first concern is airway maintenance with cervical spine protection.