During morning care of a 91-year-old female patient with vascular ...

[ericka1]

During morning care of a 91-year-old female patient with vascular dementia, the nurse and the unlicensed care provider note that the woman's vulva is inflamed and reddened.
 
  Which of the following age-related changes has most likely contributed to the woman's health problem? A) Decreased cognition
  B) Changes to normal vaginal flora
  C) Decreased immune function
  D) Fragility of the woman's vulva

Question 2

Nurse L works on an acute care for elders (ACE) unit of a county hospital. Which of the following sources should the nurse utilize as standards for practice? Select all that apply.
 
  A) The American Nurses Association (ANA) standards
  B) The Joint Commission
  C) Hospital-specific standards of practice
  D) State and federal regulations

[scrocafella]

Answer to Question 1

D
Feedback:
The increased fragility of the vulva that accompanies aging often results in vulvitis. Decreased cognition would be unlikely to result in vulvitis, and changes to bacterial flora are not noted to play a role. Impaired immune function would not be considered an age-related change and is likely not as significant a factor as the structural changes in the vulva itself.

Answer to Question 2

A, B, C, D
Feedback:
All of the listed sources are valid sources of standards of gerontological nursing practice.