Certified Wound Ostomy Nurse (CWON) Practice Test

What should be done if vaginitis is the cause of perineal monilian rash?

1. Ignore the infection

2. Treat the vaginitis

3. Use only topical treatments

4. Refer for surgical intervention

The correct answer is: Treat the vaginitis

Treating the vaginitis is essential when it is identified as the cause of a perineal monilian rash. Vaginitis, often caused by an overgrowth of yeast (Candida), can result in discomfort and irritation, which may manifest as a monilian rash. By directly addressing the underlying condition of vaginitis, one can alleviate the symptoms of the rash and prevent the condition from worsening or recurring. This approach typically involves antifungal treatments and addressing any contributing factors, thereby promoting healing and restoration of normal flora in the affected region. An adequate resolution of the vaginitis addresses not just the symptomatology but also the root cause, ensuring a more effective and holistic patient care strategy. In contrast, ignoring the infection would allow both the vaginitis and the associated rash to persist, potentially leading to further complications. Relying solely on topical treatments may not address any systemic issues related to the vaginitis. Finally, surgical intervention is typically not indicated for such a condition, as medical management is usually sufficient to resolve the issue.