Author Question: A 65-year-old woman is speaking to her nurse at the primary care clinic. She states that it is very ... (Read 23 times)

SAVANNAHHOOPER23 · **on:** Jul 11, 2018

A 65-year-old woman is speaking to her nurse at the primary care clinic. She states that it is very painful for her when she has sexual relations. She asks the nurse what she could do to alleviate the pain.

Which of the following suggestions could the nurse make to the woman?

A) Decrease the incidence of sexual relations.
B) Use a water-soluble lubricant or estrogen cream.
C) While engaging in intercourse, have your partner thrust his penis upward.
D) Use a polyisoprene (non-latex) condom for intercourse.

Question 2

During heat waves, nurses can assist to prevent heat-related illnesses in older adults. Which of the following should be included in the teaching? (Select all that apply.)

A) Ensure fluid intake at or above 64 ounces per day.
B) Keep air-conditioning at or below 72F.
C) Take a cool shower three times a day.
D) Use extra soap when bathing.
E) Use ice to cool armpits up to 20 minutes.
F) Wear loose-fitting clothing.

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

Answer to Question 1

Ans: B
With age, there is a thinning of the vaginal mucosa, which creates dryness and predisposes women to irritation and inflammation so using a water-soluble lubricant or estrogen cream may be helpful. The male partner should thrust downward instead of upward during sexual intercourse. Decreasing the incidence of sexual relations may lead to a use it or lose it principle. Use of a condom, latex or polyisoprene, will not decrease vaginal wall irritation.

Answer to Question 2

Ans: A, B, C, E, F
Ensure fluid intake at or above 64 ounces per day, keep air-conditioning at or below 72F, take a cool shower three times a day (not with soap every time), use ice to cool armpits up to 20 minutes, and wear multiple layers of loose weave, loose-fitting clothing.