The nurse is providing education to a client diagnosed with a trichomoniasis vaginal infection who has been prescribed a onetime dose of oral metronidazole. Which of the following statements by the nurse are appropriate? Select all that apply.

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11ecbb05_ccb5_0a31_b433_bf7777410f7d_MD0009_00 Trichomoniasis is a sexually transmitted infection caused by Trichomonas vaginalis. Infected clients may be asymptomatic but usually seek care when a profuse, frothy, yellow-green, malodorous vaginal discharge is noted. Pruritus, dysuria, and dyspareunia (ie, pain during sex) may also occur. Oral metronidazole (Flagyl) is the most common drug used to treat trichomoniasis. Client education includes: Abstain from sexual intercourse until the infection is cleared (ie, about 1 week after treatment) (Option A). Avoid drinking alcohol while taking metronidazole and for 3 days after completion of therapy because the combination can cause flushing, nausea/vomiting, and severe abdominal pain (Option B). Have partner(s) treated simultaneously to avoid reinfection. Use condoms to prevent the infection in the future (Option C). Know that potential side effects of metronidazole may include a metallic taste, gastrointestinal upset, or dark-colored urine (Option D). (Option E) Vaginal douching is not recommended as it gets rid of good bacteria and alters the pH of the vagina, increasing the risk for infection (eg, bacterial vaginosis). Teach the client to cleanse the exterior vulva using only unscented products, wear breathable undergarments, and report persisting odors/discharge to the health care provider. Educational objective: Trichomoniasis is a sexually transmitted infection that may cause a frothy, malodorous, yellow-green vaginal discharge. Appropriate teaching for clients undergoing treatment with oral metronidazole includes avoidance of alcohol, treatment of sexual partners, abstinence from sexual activity until the symptoms resolve (ie, about 1 week after treatment), and awareness of possible side effects (eg, dark-colored urine).

The Nurse Is Providing Education to a Client Diagnosed with a Trichomoniasis