What should the nurse instruct an adolescent who asks about the ...

[Alygatorr01285]

What should the nurse instruct an adolescent who asks about the best way to prevent vulvovaginitis?
 
  A) Wipe from front to back after urinating or defecating.
  B) Apply personal hygiene sprays if vaginal odor develops.
  C) Soak in a strong bubble bath solution to maintain hygiene.
  D) Use nylon rather than cotton underpants to decrease moisture.

Question 2

The nurse is instructing a female adolescent about the medication leuprolide acetate (Lupron Depot-Ped), which has been prescribed to reduce the level of testosterone.
 
  What should the nurse include when teaching the patient about this medication? (Select all that apply.) A) Inject in the same region every month.
  B) Ensure effective birth control if sexually active.
  C) Transfer the medication into another syringe before injecting.
  D) Mark on a calendar when the injections are needed every 3 months.
  E) Notify the health care provider if nausea and vomiting occurs after taking the medication.

[shewald78]

Answer to Question 1

A
Feedback:
To prevent vulvovaginitis, the patient should be instructed to cleanse the perineum from front to back to prevent spreading rectal contamination forward. Personal hygiene sprays should be avoided because the ingredients could cause additional irritation. Bubble baths should be avoided because the ingredients could cause additional irritation. Cotton underwear should be worn because it allows air to circulate.

Answer to Question 2

B, D
Feedback:
The medication leuprolide acetate (Lupron Depot-Ped) is a pregnancy risk category X so pregnant should be avoided when taking this medication. Because injections are given only every 3 months, the patient should prepare a calendar to identify when the next injection is due. The injections should be varied to decrease local irritation. The medication should be administered in the syringe supplied. Nausea and vomiting are possible adverse effects of the medication and do not need to be reported to the health care provider.

[Alygatorr01285]

Excellent

[duy1981999]

Gracias!