The school nurse is approached by an adolescent girl who says she ...

[bobypop]

The school nurse is approached by an adolescent girl who says she was recently diagnosed with candidiasis and wants the nurse's help to discuss this with her mother.
 
  When the discussion begins, the teen's mother accuses the daughter of contracting the infection from her boyfriend. The girl denies being sexually active. The nurse helps to resolve this conflict by stating: 1. Candidiasis is easily cured by a single dose of oral medication.
  2. Candidiasis can be caused by many things other than sexual contact.
  3. Education about condom use will reduce risk of re-infection.
  4. Teens rarely admit to being sexually active, even when they are.

Question 2

The nurse is observing as the client demonstrates the use of his metered-dose inhaler. The nurse identifies that further instructions are needed when the client does which of the following?
 
  1. The client holds the inhaler upright and shakes for 3-5 seconds to mix the medication.
  2. The client inhales slowly and deeply through the mouth while pressing down on the medication canister.
  3. The client holds his breath for 7 seconds after he inhales the drug.
  4. The client waits 30 seconds before the next inhalation.

[zhanghao]

Answer to Question 1

2
Rationale: Candidiasis grows in areas that are warm, dark, and moist, so vaginal candidiasis can be seen in clients who are not sexually active, and is often seen in clients following antibiotic therapy because normal flora are destroyed, allowing Candida albicans to flourish.

Answer to Question 2

4
Rationale: The client should wait 1-3 minutes before taking a second inhalation, if ordered, in order to allow the first inhalation of medication to be absorbed. All of the other options demonstrate correct technique.

[bobypop]

Gracias!

[Perkypinki]

Thanks for the timely response, appreciate it