The nurse prepares to discharge an older male adult who has heart ...

[casperchen82]

The nurse prepares to discharge an older male adult who has heart failure and is in stable condition, when his wife states that she will avoid sexual activities with him because of his heart disease.
 
  Which should the nurse use in patient teaching about sexual activity for an older adult with heart failure? a. An older adult with heart failure should avoid sexual relations because of the de-mand it places on his heart.
  b. Sexual relations and climbing six flights of stairs expends the same amount of energy.
  c. Fear and lack of knowledge can cause older people to reduce their sexual activity unnecessarily.
  d. Sexuality is a private matter between the older male adult and his wife.

Question 2

An older adult with a gastrostomy tube has difficulty using the dominant hand. Which of the following should the nurse provide to prevent complications of the gastrostomy tube?
 
  a. Use foam swabs to brush the teeth.
  b. Provide oral care every 4 hours.
  c. Supply a soft tooth brush and floss.
  d. Position the patient at 90 degrees for tube feedings.

[ASDFGJLO]

Answer to Question 1

C

Feedback
A Incorrect. With appropriate cardiac rehabilitation, much of his capacity for exer-tion such as sexual activity can be restored.
B Incorrect. The energy expenditure for sexual activity varies but, typically, it is much less than climbing six flights of stairs.
C Correct. Sex is not restricted to young and healthy individuals; thus, the nurse provides the patient and his wife information about resuming sexual intimacy safely.
D Incorrect. The nurse must be prepared to discuss sexual issues with patients and seeks opportunities for discussion about sexual health.

Answer to Question 2

B
The nurse provides oral care every 4 hours and brushes the teeth after meals to decrease the mi-croorganism count in the mouth of an older adult with a gastrostomy tube. Foam swabs are inef-fective tools to remove plaque, regardless of the toothpaste. Because this older adult has diffi-culty with the dominant hand, providing oral care supplies can be a waste of time, unless the nurse assists the older adult to maintain oral health with the supplies. The nurse positions the older adult at a 30- to 45-degree angle during tube feedings to facilitate gastric emptying.

[casperchen82]

Thank you

[ASDFGJLO]

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