During morning care of a 91-year-old female patient with vascular dementia, the nurse and the unlicensed care provider note that the woman's vulva is inflamed and reddened
Which of the following age-related changes has most likely contributed to the woman's health problem? A) Decreased cognition
B) Changes to normal vaginal flora
C) Decreased immune function
D) Fragility of the woman's vulva
D
Feedback:
The increased fragility of the vulva that accompanies aging often results in vulvitis. Decreased cognition would be unlikely to result in vulvitis, and changes to bacterial flora are not noted to play a role. Impaired immune function would not be considered an age-related change and is likely not as significant a factor as the structural changes in the vulva itself.
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