An older adult female patient who has multiple sexual partners ...

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An older adult female patient who has multiple sexual partners asks the nurse if the risk for contracting HIV really does increase as we age. The nurse shows the best understanding of this risk when responding
 
  a. Any time one engages in sex with mul-tiple partners, the risk for contracting HIV increases.
  b. Changes in vaginal tissue and immune function increase the risk, especially if sex is unprotected.
  c. Unless you are engaging in unprotected oral sex, your risk does not increase sub-stantially.
  d. Yes, your risk of contracting a sexually transmitted disease (STD) including HIV, dramatically increases as you age.

Question 2

A nurse is caring for four patients. On which patient should the nurse plan to conduct a further nutritional assessment?
 
  a. The patient who has lost 10 of body weight in 1 month
  b. The patient who has lost 5 pounds with exercise in 1 month
  c. The patient who gained 3 pounds while on vacation
  d. The patient who weighs 12 over ideal body weight

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Answer to Question 1

B
The age-related thinning of the vaginal mucosa and subsequent vaginal tissue disruption, as well as age-related reductions in immune function, place older adults at increased risk for HIV infec-tion. The risk does increase with increasing numbers of sex partners, but this combined with physical changes is the critical piece of information. HIV can be contracted through any sexual activity.

Answer to Question 2

A
Loss or gain of 5 of body weight in 1 month puts a patient at nutritional risk. The other patients are not at nutritional risk.

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Excellent

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