CRNE Exam Prep

Category - Changes in Health

A female client complains of vaginal burning and itching. Vaginal discharge with a cottage-cheese-like appearance is reported. History reveals that the client is on antibiotic therapy. The nurse suspects that the client is experiencing which of the following vaginal infections?
  1. Gonorrhea
  2. Bacterial vaginosis
  3. Trichomoniasis
  4. Candidiasis
Explanation
Answer: D - Candidiasis is manifested by vaginal itching and burning and vaginal discharge with a cottage-cheese-like appearance. The infection is caused by the opportunistic fungus Candida albicans. Candidiasis occurs when the vaginal environment is altered. Antibiotics and corticosteroids decrease the host’s defenses. Gonorrhea is manifested by vaginal discharge that is purulent in appearance. Bacterial vaginosis causes thin and grayish white vaginal discharge with a fishy odor. Trichomoniasis is manifested by greenish or grayish and frothy vaginal discharge.
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