A nurse is discussing sexual activity with older adults in a ...

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A nurse is discussing sexual activity with older adults in a wellness clinic. Which of the following statements by an individual indicates a need for further exploration?
 
  A) I know my diabetes can affect my sexual activity.
  B) My husband has an enlarged prostate.
  C) I use Premarin cream to help with vaginal dryness.
  D) I will not use petroleum jelly as a lubricant.

Question 2

A 64-year-old man had a myocardial infarction (MI) 2 months ago. He has recovered to the point that he is able to climb up two flights of stairs, but he and his spouse have not resumed sexual relations.
 
  Which of the following responses by the nurse is most appropriate?
 
  A) Is angina interfering with your sexual functioning?
  B) This lack of libido is caused by vasoconstriction in the genital area.
  C) You are safe to have sex; you can resume sexual relations when you desire.
  D) You may have a problem with retrograde ejaculation.

[moormoney]

Answer to Question 1

Ans: B
The husband's prostate problem can affect his sexual performance and needs further exploration. Premarin cream helps when vaginal dryness occurs because of estrogen withdrawal. Diabetes has an effect on vaginal lubrication. Petroleum jelly increases risk for infection.

Answer to Question 2

Ans: C
Even when no physiologic basis exists for abstaining from sexual intercourse after an MI, sexual activity is often limited or absent because of fatigue, depression, diminished sexual desire, and fears and anxiety of the person or the sexual partner. Diabetes can cause retrograde ejaculation. An MI does not cause vasoconstriction.

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TY

[moormoney]

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