The clinic nurse assesses a 70-year-old newlywed client who has had slight vaginal bleeding. Which of the following assessment data should the nurse prioritize?
A) Date of last Pap smear
B) History of cervical cancer
C) History of urinary tract infections
D) Bleeding or other symptoms after intercourse
D
Feedback:
Because the vagina is more fragile in elderly women, increased sexual activity (particularly as a newlywed) may increase the risk of vaginitis; itching, foul-smelling discharge, and postcoital bleeding are symptoms associated with vaginal infection. Cancer of the vagina is rare in older women.
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