Author Question: Which of the following age-related issues can contribute to vaginitis? A) Alkaline vaginal pH B) ... (Read 29 times)

folubunmi · **on:** Jul 11, 2018

Which of the following age-related issues can contribute to vaginitis?

A) Alkaline vaginal pH
B) Muscle weakness of the perineum
C) Atrophy of the endocervical epithelium
D) Shortening and atrophy of the fallopian tubes

Question 2

You administered the medication GoLYTELY to a 78-year-old woman in preparation for diagnostic tests. In planning for her care, which would be most appropriate?

a. Side rails up to prevent falling
b. Door closed for privacy
c. Available bedside commode for possible weakness
d. Monitor vital signs

frankwu0507 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Feedback:
A change in the pH increases the incidence of vaginitis. Muscle weakness associated with advanced age causes perineal herniation and leads to cystocele, rectocele, and prolapse of the uterus. As the endocervical epithelium atrophies, occasionally the endocervical glands can seal over, causing the formation of nabothian cysts. The fallopian tubes undergo shortening and straightening but do not cause infection.

Answer to Question 2

C
Provide a bedside commode for older or weak patients when giving GoLYTELY as this causes rapid and copious clearing of the bowel.