A postmenopausal client says that she is experiencing difficulty with vaginal dryness during intercourse and wonders what might be causing this. Which is the nurse's best response?
a. "The less frequently you have intercourse, the drier the vaginal tissues become."
b. "Estrogen deficiency causes the vaginal tissues to become drier and thinner."
c. "Drinking at least 3 liters of water each day will make all your tissues less dry."
d. "Try using a water-soluble lubricant during intercourse."
B
Estrogen deprivation, which occurs as a result of menopause, decreases the moisture-secreting capacity of vaginal cells, thereby making the area drier. The vaginal tissues also become thinner and the rugae become smoother. Reduced frequency of intercourse will not dry out the vaginal tissues. Drinking excess water will not make the tissues less dry. A water-soluble lubricant may make intercourse less difficult. However, the client is asking what causes the problem.
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The pregnant client and her partner are both 40 years old. The nurse is explaining the options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The nurse should intervene if the client states:
1. "Amniocentesis results are available sooner than CVS results are." 2. "CVS carries a higher risk of limb abnormalities." 3. "Amniocentesis cannot detect a neural tube defect." 4. "CVS is performed through my belly or my cervix."
The nurse places a patient in a treatment room of the emergency department for treatment of abdominal pain and vaginal bleeding. The patient is a female of the Islamic culture
The husband of the patient speaks for the woman and asks that only a female doctor examines his wife for the pelvic exam. To provide culturally appropriate care for this client, the nurse would explain that A) the male and female doctors both respect the client's privacy. B) the client will be covered with a sheet so it will not matter whether the examiner is male or female. C) the request is unreasonable and cannot be honored. D) a female doctor is present so their request can be accommodated.
A patient is brought to the emergency department after a motor vehicle accident and requires endotracheal intubation. Which drug would the nurse expect to administer to facilitate intuba-tion?
a. Succinylcholine (Anectine) b. Atropine (Sal-Tropine) c. Doxacurium (Nuromax) d. Pancuronium
Which physical effect is the nurse most likely to be concerned about when caring for a client who has had long-term marijuana use?
a. Constipation b. Cardiac dysrhythmia c. Abdominal pain d. Respiratory tract damage