Ace the NCLEX Genitourinary Challenge 2026 – Unleash Your Nursing Power Today!

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A client reports vulvar pruritus. Which finding may indicate an infection caused by Candida albicans?

Cottage cheese-like discharge

Candida albicans infections of the vulva and vagina typically produce itching and irritation along with a thick, white, curd-like discharge described as cottage cheese. The absence of a strong odor helps differentiate it from some other infections. So, the cottage cheese–like discharge is the finding most consistent with candidal vulvovaginitis. In contrast, a thick yellow discharge can suggest gonorrhea or another bacterial infection, foul odor with discharge is more characteristic of bacterial vaginosis or trichomoniasis, and clear watery discharge is not typical of a yeast infection.

Thick, yellow discharge

Foul odor with discharge

Clear watery discharge

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