The nurse in the outpatient clinic is caring for a 33-year-old female.
Item 1 of 1
- Nurses' Note
1435: Client reports vaginal discharge that is malodorous x 3 days. The client reports that the discharge is thin, green, and yellow. She reports being sexually active with multiple partners without any protection. She denies any dysuria, dyspareunia, fevers, chills, or fatigue. The client is alert and oriented to person, place, and time. Reports no pain. Lung sounds are clear, with a regular breathing pattern. Active bowel sounds in all quadrants. Peripheral pulses were 2+ and regular—no peripheral edema. Skin is warm and moist. Vital signs: T 98° F (36.7° C), P 72, RR 18, BP 132/76, pulse oximetry reading 98% on room air.
Complete the following sentences by choosing from the lists of options.
Complete the following sentences by choosing from the lists of options.
The client is demonstrating signs and symptoms of
To confirm this diagnosis, the nurse anticipates a physician's order for
Statistics
Subject/Lesson
Subject
Adult Health
Lesson
Reproductive
Client Need
Test Plan
Physiological Adaptation
Related Topic
Alterations in Body Systems
Item Type
Item Type
PrioritizeHypothesis
Explanation
The client is demonstrating signs and symptoms of trichomoniasis
- Trichomoniasis is a sexually transmitted infection caused by Trichomonas vaginalis. It often presents with malodorous, thin, green-yellow vaginal discharge.
- The client’s history of unprotected sex with multiple partners increases the risk of STIs.
- The absence of systemic symptoms like fever, chills, or fatigue makes other infectious conditions like syphilis or HIV less likely. The client’s symptoms of malodorous, thin, green-yellow discharge are not typical of syphilis, which does not usually cause vaginal discharge.
- The client has no reports of dysuria, hematuria, or flank pain, making urolithiasis unlikely.
To confirm this diagnosis, the nurse anticipates a physician's order for wet mount microscopy.
- A wet mount microscopy test involves examining vaginal discharge under a microscope to identify Trichomonas vaginalis, which appears as motile, flagellated protozoa.
- This is the standard diagnostic method for trichomoniasis.
- RPR is a screening test for syphilis, which does not typically present with malodorous vaginal discharge.
- The HIV p24 antigen test detects early HIV infection, but HIV does not typically cause vaginal discharge.
- A CT scan is used to assess kidney stones, abdominal pain, or other internal organ issues. It is not used for diagnosing sexually transmitted infections.
Related Videos
2 Key Topics
STD Risk Factors
26.4 Sexually Transmitted Infections (STIs)
Additional Info
✓ Trichomonas vaginalis causes Trichomoniasis.
✓ Trichomonas vaginalis is a protozoan parasite primarily spread via sexual contact.
✓ This infection is only found in humans and may cause symptoms in females such as thin, malodorous vaginal discharge that is yellow/green.
✓ Other manifestations include pelvic pain and dyspareunia.
✓ Males are commonly asymptomatic. However, they may have symptoms such as urethritis with purulent discharge.
✓ Treatment of this infection is a prescription of metronidazole, which may be given in a single dose.
