The postmenopausal client says that she is experiencing difficulty with vaginal dryness during intercourse and wonders what might be the cause. What is the nurse's best response?
A. "The less frequently you have intercourse, the drier the vaginal tissues become."
B. "Estrogen deficiency causes the vaginal tissues to become drier and thinner."
C. "Drinking at least 3 L of water each day will make all your tissues less dry."
D. "Try using a water-soluble lubricant during intercourse."
B
Estrogen deprivation, which occurs as a result of menopause, decreases the moisture-secreting capacity of vaginal cells, thereby making the area drier. The vaginal tissues also become thinner and the rugae become smoother. Using a water-soluble lubricant can make intercourse less diffi-cult, but this response does not answer the question asked.
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Which of the following information should a nurse include when explaining causes of anorexia nervosa to a client? (Select all that apply.)
1. There is a possible correlation between abnormal secretion of growth hormone and anorexia nervosa. 2. There is a possible correlation between antidiuretic hormone levels and anorexia nervosa. 3. There is a possible correlation between low levels of gonadotropin and anorexia nervosa. 4. There is a possible correlation between increased levels of prolactin and anorexia nervosa. 5. There is a possible correlation between altered levels of oxytocin and anorexia nervosa.
Diagnostic testing has revealed a deficiency in the function of a patient's complement system. This patient is likely to have an impaired ability to do which of the following?
A) Protecting the body against viral infection B) Marking the parameters of the immune response C) Bridging natural and acquired immunity D) Collecting immune complexes during inflammation
A client is brought into the emergency department after being assaulted. It is suspected that the client has a spinal cord injury. Which diagnostic test does the nurse anticipate based on the data collected?
A) Computed tomography (CT) scan B) X-ray C) Ultrasound D) Magnetic resonance imaging (MRI)
Kegel exercises may help many forms of incontinence because they:
a. decrease bladder contractions b. increase outlet resistance c. strengthen the pelvic floor muscles d. counteract the effects of multiple pregnancies