Conversations about safe sexual practices, including the ...

[JGIBBSON]

Conversations about safe sexual practices, including the consequences of unprotected sex such as pregnancy and sexually transmitted infections, are important to begin in what patient population?
 
  a. Adults
  b. School-aged children
  c. Adolescents
  d. Older adults

Question 2

The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when she tries to exercise. The nurse is concerned that her decrease in activity may lead to:
 
  a. orthostatic hypotension.
  b. increase risk of heart disease.
  c. loss of short-term memory.
  d. worsening shortness of breath.

[djofnc]

Answer to Question 1

ANS: C
Sexual curiosity and experimentation occur in the adolescent patient population. Conversations about safe sexual practices, including the consequences of unprotected sex, such as pregnancy and sexually transmitted infections, are important. These conversations are also important for adults and older adults but are handled differently in context with their age-related needs. School-aged children may be too young depending on their age and their environment. The nurse must use judgment on when to have the conversation.

Answer to Question 2

ANS: A
Inactivity in patients with cardiopulmonary disease can lead to an unsafe drop in blood pressure with position changes, or orthostatic hypotension. The patient already has heart disease so there is no further risk. Loss of short-term memory is not related to the shortness of breath. The lack of activity is not likely to worsen the shortness of breath; improving activity level may help things eventually.