The nurse is teaching a postmenopausal client about the risk of acquiring HIV infection. The client states, "I'm an old woman! I cannot possibly get HIV." What is the nurse's best response?
a. "Your vaginal walls become thicker after menopause, which increases your risk."
b. "Women in your age-group are the fastest growing population of AIDS clients to-day."
c. "Hormonal fluctuations after menopause make it harder to fight off infection."
d. "You might be right. How often do you engage in sexual activities?"
B
Women are the fastest growing group with HIV infection and AIDS. Infection with HIV can occur at any age, and postmenopausal women experience thinning of vaginal tissue along with an age-related (not hormonal) decline in immune function. This places the older woman at higher risk of acquiring HIV infection. The frequency of sexual activity is not as relevant as the sexual activities the person practices.
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