A 49-year-old patient confides to the nurse that she has started experiencing pain with intercourse and asks, "Is there anything I can do about this?" The nurse's best response is
a. "You need to be evaluated for a sexually transmitted disease."
b. "Water-soluble vaginal lubricants may provide relief."
c. "No, it is part of the aging process."
d. "You may have vaginal scar tissue that is producing the discomfort."
B
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A This is a normal occurrence with the aging process and does not indicate STDs.
B Loss of lubrication with resulting discomfort in intercourse is a symptom of
estrogen deficiency.
C It is part of the aging process, but the use of lubrication will help relieve the
symptoms.
D It is due to loss of lubrication with the decrease in estrogen. Scar tissue problems
would have occurred earlier.
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