The nurse is interviewing an elderly female client. Which of the following statements made by the client would cause intervention by the nurse?
1. "I use a lubricant for sex to help with dryness.".
2. "I take hormone pills to help with my hot flashes.".
3. "My periods stopped for 5 years, but recently restarted.".
4. "I don't have a desire for sex very often, but neither does my husband.".
3
Rationale 1: The use of lubrication for sexual intimacy is normal due to vaginal dryness, although libido may be diminished in both the male and female.
Rationale 2: The use of estrogen replacement therapy can alleviate symptoms related to night sweats, hot flashes, and mood changes.
Rationale 3: Women may assume that postmenopausal bleeding is normal and ignore it, but this may be suggestive of inadequate estrogen therapy or endometrial cancer, and follow-up is required.
Rationale 4: The use of lubrication for sexual intimacy is normal due to vaginal dryness, although libido may be diminished in both the male and female.
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Patients with newly diagnosed diabetes are often fearful and nervous about coping with the disease. Only some of their fears are unfounded. Which of these concerns is undeniably true?
A) "I will have to make lifestyle changes.". B) "I can't learn to inject myself with insulin.". C) "I will eventually have to enter a nursing home.". D) "I can't afford a special diet.".
Which behavior/attitude makes it likely that a planned change will be unsuccessful?
A) The suggested change is brought forward only after the plan has been formalized. B) All individuals who may be affected by the change are involved in planning for the change. C) The change agent is sensitive to the internal and external environment of the organization. D) An assessment of resources to carry out the plan is completed before unfreezing.
A multisystem healthcare organization is adding an informatics department to the main hospital. Which subdiscipline should be added to support clinical care? Select all that apply.
A) Bioinformatics B) Dental informatics C) Nursing informatics D) Medical informatics E) Structural informatics
The patient is brought to the emergency department after a motor vehicle accident. The patient has head and neck trauma and has stopped breathing. What should the nurse do?
a. Open the airway using the head tilt–chin lift method. b. Open the airway using the jaw-thrust method. c. Give two breaths using mouth-to-mouth and a barrier device. d. Give two breaths using a bag-mask device.