A patient has been diagnosed with bacterial vaginosis. The nurse ...

[dmcintosh]

A patient has been diagnosed with bacterial vaginosis. The nurse obtains a sexual history from the patient, including contraceptive measures, number of sexual partners, and frequency of intercourse. What is the rationale for the questions?
 
  1. Patients can infect their sexual partners.
  2. The nurse is required by law to ask the questions.
  3. Patients with bacterial vaginosis can become infected with HIV and other sexually transmitted diseases more easily.
  4. The laboratory needs a full patient history in order to know for which organisms and antibiotic sensitivities it should test.

Question 2

The patient delivered her first child vaginally 7 hours ago. She has not voided since delivery. She has an IV of lactated Ringer's solution running at 100 ml/hr. Her fundus is firm, 1 FB U, to the right of midline.
 
  The best nursing action is to: 1. Massage the fundus vigorously.
  2. Assess the patient's pain level.
  3. Increase the rate of the IV.
  4. Assist the patient to the bathroom.

[jordangronback]

Answer to Question 1

3
Rationale 1: Transmission of bacterial vaginosis to partners is rare.
Rationale 2: There is no law that requires the nurse to ask these questions.
Rationale 3: The change in normal flora increases the woman's susceptibility to other organisms, making the patient more vulnerable to sexually transmitted diseases, including HIV.
Rationale 4: There is no need to provide the laboratory with ths information.

Answer to Question 2

4
Rationale 1: The location of the fundus and the time since delivery indicate that the bladder is distended. Emptying the bladder is the top priority.
Rationale 2: This is not important at this time. Emptying the bladder is the top priority.
Rationale 3: Emptying the bladder is the top priority. A distended bladder is an indication that hydration is adequate.
Rationale 4: Emptying the bladder is the top priority.