Answer to Question 1
Answer: A
It is not uncommon for a postmenopausal female to report painful intercourse that is related to a decrease in vaginal lubrication. Vaginal lubricants can be very effective in reducing the pain experienced during intercourse. Although this is a normal change of aging, clients do not have to tolerate the discomfort. Avoidance and decreasing frequency of intercourse would not resolve the problem for the client. It is stereotypical to assume the client would have less of a desire for intercourse at an older age.
Answer to Question 2
Answer: C
Osteoporosis is associated with the reduction of estrogen. Hormone replacement therapy is encouraged for those women who are at an increased risk for the development of this disease. Estrogen was once thought to be cardio-protective for women, but newer studies refute these claims. There is an increased risk for breast cancer and pulmonary embolism for those women who are taking hormone replacement therapy. Although the rates of deep vein thrombosis are increased, the rates of colorectal cancer are reduced in those taking hormone replacement therapy.
The nurse assists the patient in reflecting on his feelings
Client position when assessing jugular vein distention.
A, A nurse is adding a medication to an IV line as a piggyback
A nurse communicates with her non–English-speaking patient through an interpreter
The Wong-Baker “Faces” pain rating scale
Testing patellar reflex, client in a supine position