The health care provider has instructed a patient to use ...

[fbq8i]

The health care provider has instructed a patient to use over-the-counter miconazole (Monistat) cream to treat her vaginal yeast infection. What information is important to include in patient education? (Select all that apply.)
 
  a. Wash the genital area thoroughly before inserting the vaginal cream.
  b. Wash the applicator before usage.
  c. Wear a minipad to catch remaining discharge following vaginal administration.
  d. Wash hands before and after administration.
  e. The sexual partner may require treatment as well.

Question 2

The nurse is giving instructions to a young female at an outpatient clinic regarding combination OCP therapy. What information will the nurse include? (Select all that apply.)
 
  a. Medication should be taken at approximately the same time daily.
  b. A backup birth control method should be used for the first 6 months.
  c. Medication should be discontinued 1 year before attempting pregnancy.
  d. Headaches, dizziness, and chest or abdominal pain should be reported immediately.
  e. If a pill is missed, take it immediately and remain on schedule for the next dosage.

[prumorgan]

Answer to Question 1

ANS: A, C, D, E
It is imperative that proper cleansing of the genital area be done regularly using soap and water; rinse and dry well. A minipad should be worn to catch remaining discharge. Hands should be washed before and after medication insertion and before and after toileting. Both partners in a sexual relationship require treatment. The male partner may require oral anti-infectives. The vaginal applicator should be thoroughly washed with soap and water after each use and then dried.

Answer to Question 2

ANS: A, D, E
Medications should be taken at approximately the same time daily. Headaches, dizziness, and chest or abdominal pain should be reported immediately to the health care provider because these may be symptoms of a serious adverse effect. If one pill is missed, patients are directed to take it as soon as possible and continue with their normal schedule. If more than one pill is missed and a period is skipped, patients should return to their health care provider for a pregnancy test before restarting contraception. A backup contraceptive method is recommended at any point with OCP therapy. Because of a possibility of birth defects, the pill should be discontinued 3 months before attempting pregnancy.

[fbq8i]

Thank you!

[prumorgan]

Always glad to help...