Author Question: A female client in a reproductive health clinic tells the nurse practitioner that she douches every ... (Read 78 times)

misspop · **on:** Jul 23, 2018

A female client in a reproductive health clinic tells the nurse practitioner that she douches every day. Should the nurse tell the client to continue this practice?

A) Yes, this helps prevent vaginal odor.
B) Yes, this decreases vaginal secretions.
C) No, douching removes normal bacteria.
D) No, douching may increase secretions.

Question 2

A nurse is providing perineal care to a female client. In which direction would the nurse move the washcloth?

A) From the pubic area toward the anal area
B) From the anal area to the pubic area
C) From side to side within the labia
D) The direction does not make any difference

Athena23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: C
In normal healthy women, daily douching is believed to be unnecessary because it removes normal bacterial flora from the vagina. Douching has been linked to bacterial vaginosis, pelvic inflammatory disease, higher rates of HIV transmission, tubal pregnancies, chlamydial infection, and cervical cancer.

Answer to Question 2

Ans: A
Always proceed from the least contaminated area to the most contaminated area. For a female client, spread the labia and move the washcloth from the pubic area toward the anal area to prevent carrying organisms from the anal area back over to the genital area.