An adolescent patient has been diagnosed with a vulvovaginal ...

[silviawilliams41]

An adolescent patient has been diagnosed with a vulvovaginal candidiasis (yeast infection). The nurse expects the health care provider to recommend which vaginal cream?
 
  a. Premarin
  b. Estradiol (Estrace)
  c. Miconazole (Monistat)
  d. Clindamycin phosphate (Cleocin)

Question 2

The nurse is teaching an adolescent about acne care. What statement by the adolescent indicates a need for further teaching?
 
  a. I will cleanse my face twice a day.
  b. I will frequently shampoo my hair.
  c. I will brush my hair away from my forehead.
  d. I will use my antibacterial soap to cleanse my face.

[bigcheese9]

Answer to Question 1

ANS: C
A number of antifungal preparations are available for the treatment of vulvovaginal candidiasis infections. Many of these medications (e.g., miconazole Monistat and clotrimazole Gyne-Lotrimin) are available as over-the-counter (OTC) agents. Premarin and Estrace are estrogen vaginal creams and are used to treat vaginal dryness. Cleocin is an antibacterial vaginal cream used to treat bacterial vaginal infections.

Answer to Question 2

ANS: D
Antibacterial soaps are ineffective and may be drying when used in combination with topical acne medications. Further teaching is needed if the adolescent indicates using antibacterial soap. Gentle cleansing with a mild cleanser once or twice daily is usually sufficient. For some adolescents, hygiene of the hair and scalp appears to be related to the clinical activity of acne. Acne on the forehead may improve with brushing the hair away from the forehead and more frequent shampooing.

[silviawilliams41]

TYSM

[6ana001]

Excellent