Final answer:
The most relevant information for the nurse to plan teaching for a patient with contact vaginitis is that she has been on oral antibiotics for a sinus infection, which can disrupt natural vaginal flora and lead to vaginitis. Education on maintaining vaginal flora and avoiding irritants like bubble baths would be part of the care plan.
Step-by-step explanation:
When planning teaching for a patient who has been seen in a clinic for contact vaginitis, the most relevant information from her history would be d. She has been on oral antibiotics for a sinus infection. The reason is that the use of antibiotics often disrupts the normal vaginal flora, leading to an overgrowth of yeasts like Candida albicans, which can cause vaginitis. Thus, a common side effect of antibiotic use is a secondary yeast infection, resulting from the eradication of protective bacteria.
Other factors like stress at work, UTIs, or frequent bubble baths can also contribute to the condition, but the direct link between antibiotics and yeast overgrowth is a well-documented phenomenon. It is also critical to assess and address behaviors that can disturb the natural microbiota, such as the frequent use of bubble baths which can be irritating and alter the pH of the vagina, potentially contributing to vaginitis.
In this case, the nurse would need to educate the patient on the importance of maintaining the natural vaginal flora and possibly suggest probiotics or other measures to restore balance after the antibiotic treatment. Additionally, discussing the avoidance of potential irritants, like scented soaps or bubble baths, may help prevent future occurrences of vaginitis.