A 79-year-old female client consults the nurse practitioner with reports of vaginal itching, burning and discharge. After the nurse practitioner diagnoses a yeast infection and prescribes nystatin (Mycostatin) suppositories, the client states, "This is th
a. age-related vaginal changes
b. decreased ability to perform proper perineal hygiene
c. the effects of the multitude of medications taken for chronic medical condi-tions
d. decreased fluid intake
ANS: A
Normal age-related changes in urogenital structures include changes in the vagina, including a decreased ability to lubricate quickly, changes in the vaginal epithelium, and a rise in pH, all of which make the individual more susceptible to infection. It is not true that all older adults are unable to perform proper perineal hygiene. Neither a multitude of medications nor decreased fluid intake account for the increased incidence of vaginal infections in older women. This also may be a sign of diabetes.
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A patient who received an oral dose of procainamide immediate release an hour ago at 9:00 a.m. is now prescribed to receive an oral dose of disopyramide. When is the earliest you should give the disopyramide?
a. Immediately b. 12:00 noon c. 3:00 p.m. d. 9:00 p.m.
Bathing does which of the following?
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When the preoperative patient tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is
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