Which client is at greatest risk for developing Chlamydia ...

[Engineer]

Which client is at greatest risk for developing Chlamydia trachomatis infection?
 
  1. 35-year-old woman on oral contraceptives
  2. 22-year-old mother of two, developed dyspareunia
  3. 16-year-old, sexually active, using no contraceptive
  4. 48-year-old woman with hot flashes and night sweats

Question 2

Which statement indicates that client teaching about vaginal infections has been effective?
 
  1. The fishy vaginal odor I have is caused by a bacterial infection.
  2. I can use this antiyeast medication weekly to prevent another infection.
  3. My diabetes is unrelated to the frequency of my vaginal yeast infections.
  4. I should douche weekly to prevent a recurrence of my bacterial vaginosis.

[dajones82]

Answer to Question 1

3
Explanation:
1. There is no correlation between oral contraceptive use and an increased rate of chlamydial infection. Additionally, chlamydial infection is more commonly seen in young women.
2. Dyspareunia sometimes develops with chlamydial infection, but dyspareunia is not a symptom specific to chlamydial infection.
3. Teens have the highest incidence of sexually transmitted infections, especially chlamydial infection. A client not using contraceptives is not using condoms, which decrease the risk of contracting a sexually transmitted infection (STI).
4. This client is experiencing signs of menopause, not chlamydial infection.

Answer to Question 2

1
Explanation:
1. Bacterial vaginosis is characterized by a fishy vaginal odor and greenish discharge with a vaginal pH over 4.5.
2. Medication for vaginal yeast infections should be used as treatment, not prophylaxis. Using medication as prescribed is important client education. Medication should not be saved for future use.
3. Yeast vaginitis is more common in diabetic and pre-diabetic women. Four episodes or more per year of yeast vaginitis are an indication to screen a woman for diabetes.
4. Douching disrupts normal flora by washing out desirable bacteria; douching is not recommended.