Author Question: A female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. ... (Read 25 times)

leo leo · **on:** Jul 22, 2018

A female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. After treatment the client is found to have a white, cheesy discharge. What recommendation is necessary?

1. Referral to a surgeon for excision of infected tissue
2. Examination and treatment of sexual partner
3. Treatment with a stronger oral antibiotic
4. Routine douches with a topical antibiotic solution

Question 2

The client experiencing anovulatory dysfunctional uterine bleeding is concerned about maintaining her fertility. The nurse realizes that which of the following interventions will most likely be used first to help this client?

1. Oral contraceptives
2. Progestin therapy
3. Therapeutic D and C
4. Endometrial ablation

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

Answer to Question 1

2. Examination and treatment of sexual partner

Rationale:
Candidiasis is a sexually transmitted infection. It may be that this woman's sexual partner is also infected with candidiasis and that the couple is transmitting the infection between them. Examination and treatment of the partner is indicated. There is no need for tissue excision. Candidiasis is a yeast infection. Antibiotic therapy is not indicated and may, in fact, complicate treatment.

Answer to Question 2

1. Oral contraceptives

Rationale:
Oral contraceptives can be used to regulate uterine bleeding in women when the bleeding is anovulatory. Progestin therapy can be used to treat ovulatory uterine bleeding. The therapeutic D and C would not be an initial therapy for condition. Endometrial ablation would destroy the client's fertility.