A nurse is assessing an older adult client's perception of sexuality. Which of the following statements made by the client indicates a need for intervention?
"I do not have to worry about using protection now that I am in menopause."
use lubricants to help prevent pain during sex."
1 feel more self-conscious with how I look now that I am older."
"I still think about having sex at my age?
The Correct Answer is A
A. This statement reflects a misconception about menopause and sexual health, indicating a need for education on safe sex practices.
B. This statement indicates the client is taking steps to address discomfort during sexual activity, which is appropriate.
C. This statement reflects body image concerns commonly experienced by older adults and may warrant further exploration but does not necessarily indicate a need for immediate intervention.
D. This statement indicates a normal interest in sexual activity and does not necessarily indicate a need for intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Logrolling is primarily used to move clients without twisting the spine or causing friction on pressure areas, rather than specifically to prevent friction.
B. Logrolling is a technique used to maintain the alignment of the client's spine while turning them, reducing the risk of injury, particularly to the spinal cord.
C. Clients are typically instructed to cross their arms over their chest during logrolling to help maintain alignment and protect their arms.
D. While raising the head of the bed may be necessary for certain procedures or to assist with positioning, it is not specifically required for logrolling.
Correct Answer is ["B","C","D"]
Explanation
A. Povidone-iodine is not recommended for cleaning around the stoma as it may cause irritation.
B. Ensuring the pouch opening is slightly larger than the stoma helps prevent irritation and ensures proper fit.
C. Regular emptying of the ostomy pouch prevents leakage and skin irritation. It also prevents it from becoming too heavy and pulling away from the skin.
D. The nurse should advise the client to place a piece of gauze over the stoma while changing the pouch to protect it from injury and contamination.
E. A purplish-blue change in the stoma is an indication of impaired blood supply to the stoma and should be promptly reported to the healthcare provider.

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