A patient recently treated for pelvic inflammatory disease asks ...

[RRMR]

A patient recently treated for pelvic inflammatory disease asks how she can best prevent a recurrence of the disease. What information should the nurse provide for the patient?
 
  1. The physician will prescribe prophylactic antibiotic therapy.
  2. The use of condoms will be beneficial.
  3. Annual gynecological examinations should be scheduled.
  4. Douching after intercourse will assist in removing potential pathogens from the genital area.

Question 2

A patient is preparing to return home after repair of a vaginal fistula. What teaching should the nurse provide before this patient is discharged?
 
  Select all that apply.
 
  1. Maintain bed rest for a week.
  2. Use perineal pads as directed.
  3. Perform perineal irrigation as prescribed.
  4. Cleanse the perineal area daily with a sitz bath.
  5. Apply topical antibacterial ointment to the area.

[orangecrush]

Answer to Question 1

Correct Answer: 2
Latex condoms offer the most effective protection against infection. Prophylactic antibiotics are not used to manage pelvic inflammatory disease. Annual gynecological examinations are recommended, but will not prevent the spread of the disease. Douching to prevent a recurrence of the disease is not recommended.

Answer to Question 2

Correct Answer: 2, 3, 4
Perineal pads may be used to absorb urine or fecal drainage. Perineal irrigation will keep the area clean, reduce irritation, and prevent further tissue breakdown. Sitz baths will help with cleansing the area. Bed rest is not indicated in the postoperative care of a vaginal fistula. Topical antibacterial ointment is not used in the care of a vaginal fistula.