Question

The nurse is reinforcing self-care and medication teaching for a client diagnosed with vaginal candidiasis who has been prescribed miconazole vaginal cream. Which statement by the client indicates that further teaching is needed?

a) "I will apply the cream directly to the affected area using the applicator."
b) "I will use a sanitary pad while using the cream to prevent any mess."
c) "I should avoid sexual activity while using the miconazole cream."
d) "I will take an oral antibiotic along with the cream for better results."

Answer 1

The client's belief that they should take an oral antibiotic with the miconazole cream for better results is incorrect and indicates the need for further teaching. Miconazole is an antifungal medication, and antibiotics are not beneficial for the treatment of fungal infections like vaginal candidiasis.

Step-by-step explanation:

The statement by the client that indicates further teaching is needed is: "I will take an oral antibiotic along with the cream for better results." Miconazole vaginal cream is an antifungal medication used for the treatment of vaginal candidiasis, whereas antibiotics are used to treat bacterial infections and will not enhance the effectiveness of miconazole. In fact, taking an antibiotic could potentially disrupt the normal vaginal flora further and complicate the fungal infection. It is not recommended to take an oral antibiotic for the treatment of a fungal infection unless specifically prescribed by a healthcare provider for a co-infection.

It's important for clients to understand how to properly use miconazole vaginal cream. Applying the cream with the applicator directly to the affected area, using a sanitary pad to prevent mess, and avoiding sexual activity while using the cream are all correct. However, the unnecessary use of antibiotics is a common misconception and requires further education to prevent potential resistance and other complications.