A 68-year-old woman tells the nurse that her breasts are sagging, she no longer menstruates, and sexual intercourse is sometimes uncomfortable. What information should the nurse include in responding to this patient?
a. The patient should see a physician because these are not normal changes associated with aging.
b. Suggest that the patient try using a wa-ter-soluble lubricant before intercourse.
c. Cessation of menses is normal, but the other changes are not.
d. Sexual intercourse at this age is not necessary; avoid it if it is uncomfortable.
B
The nurse must not assume that the older client is not interested in sex. Vaginal lubrication is decreased in older women. Postmenopausal changes, such as vaginal dryness, may cause the woman to experience pain during intercourse, which estrogen-based lubricants may help.
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How should the nurse respond to a family immediately after a patient dies?
a. Ask the family to leave the patient's room so postmortem care can be performed. b. Leave tubes and IV lines in place until the family has the opportunity to view the body. c. Express sympathy to the family (e.g., "I am sorry for your loss"). d. Tell the family that they will have limited time with their loved one.
The client has an endotracheal tube and is unresponsive to painful stimuli. Which should the nurse implement while providing oral care?
1. Use suction to remove oral secretions. 2. Test the gag reflex with squirts of water. 3. Clean the teeth with a medium toothbrush. 4. Prevent client toothbrush biting with airway.
What type of insulin is administered at bedtime, either with or without another type of insulin?
1. Insulin glargine (Lantus) 2. Isophane insulin suspension (Humulin N) 3. Regular insulin 4. NPH 70/30 (Humulin 70/30)
A nurse performs a reflective cultural self-assessment. Which of the following outcomes should the nurse expect?
A) An accurate ranking of different cultures according to their specific merits B) Identification of the flaws and weaknesses of the nurse's own culture C) Progression from judgmental views of other cultures to recognition of positive attributes D) The ability to assess clients according to their cultural affiliation rather than individual characteristics