Author Question: A female adult patient presents to the clinic with reports of a white discharge and itching in the ... (Read 59 times)

cagreen833 · **on:** Jul 22, 2018

A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginal area. During the health history, which of these questions should the nurse prioritize?

a. When was the last time you visited the physician?
b. Has this condition affected your eating habits?
c. What medications are you currently taking?
d. Are you able to sleep at night?

Question 2

A nurse who is caring for a patient with a pressure ulcer fails to apply the recommended dressing according to hospital policy. If the patient is harmed, the nurse could be subject to legal action for not adhering to

a. Fairness.
b. Intellectual standards.
c. Independent reasoning.
d. Institutional practice guidelines.

wshriver · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
The body contains normal flora (microorganisms) that live on the surface of skin, saliva, oral mucosa, gastrointestinal tract, and genitourinary tract. The normal flora of the vagina causes vaginal secretions to achieve a low pH. This inhibits the growth of many microorganisms. Antibiotics and oral contraceptives can disrupt normal flora in the vagina, causing an overgrowth of Candida albicans in that area. It is important to ask the patient about current medications to obtain information that may assist with diagnosis. Visiting the physician is important for the patient's health maintenance. Learning about the patient's eating and sleeping habits will assist in the plan of care.

Answer to Question 2

D
Institutional practice guidelines are established standards and policies that can be used in court to make judgments about nursing actions. Intellectual standards are guidelines or principles for rational thought. Fairness and independent reasoning are two examples of critical thinking attitudes that are designed to help nurses make clinical decisions.