The nurse is talking with a client who is experiencing atrophic vaginitis. The client states that intercourse is very painful, and appears distraught. The nurse should suggest:
1. refraining from sexual intercourse for 2 weeks.
2. drinking extra fluids before intercourse.
3. using water-soluble gel to lubricate the vagina during intercourse.
4. that estrogen replacement has caused the problem.
Answer: 3
1. The client needs to use a lubricant rather than refraining from intercourse.
2. Extra fluids will not lubricate the vagina.
3. Atrophic vaginitis is caused by decreased secretion production in the vagina during the aging process. The nurse should instruct the client to use a water-soluble lubricant during intercourse.
4. Estrogen does not aggravate the condition. It is an option to take hormone replacement therapy to help alleviate dryness in the vagina.
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