A nurse working at a crisis hotline call center receives a call from a client who states, "I cannot take it. My life is over." Which of the following is the priority response by the nurse?

A. Cleanse the perineal area from back to front: Perineal hygiene after delivery should be performed from front to back to prevent transfer of gastrointestinal flora, such as Escherichia coli, to the episiotomy site or urinary tract. Cleansing from back to front increases the risk of wound contamination and postpartum infection.

B. Wash the perineal area with povidone-iodine twice daily: Routine use of antiseptic solutions such as povidone-iodine is not recommended for standard episiotomy care. These solutions can irritate healing tissue and disrupt normal skin flora. Gentle cleansing with warm water using a peri-bottle after voiding or defecation is typically advised.

C. Change the perineal pad with each void: Lochia provides a moist environment that can promote bacterial growth and increase infection risk at the episiotomy site. Changing the perineal pad frequently, especially after each void, helps maintain dryness, reduce bacterial proliferation, and support wound healing.

D. Wipe the perineal area with a soft towel: The perineal area should be gently patted dry rather than wiped to avoid mechanical trauma to the sutured episiotomy site. Wiping can place tension on the sutures and disrupt tissue approximation during the early stages of healing.

A. A majority of older adults have dementia: Dementia is not a normal part of aging and does not affect the majority of older adults. While the risk of cognitive impairment increases with age, most older adults maintain functional cognitive abilities. Presenting dementia as typical aging reinforces misconceptions and stigma.

B. Most older adults are isolated from family and friends: Although some older adults experience social isolation, many maintain active relationships with family, friends, and community groups. Social engagement varies widely and is influenced by health status, mobility, and support systems rather than age alone.

C. There is an increased rate of depression in older adults: Older adults may have an increased risk for depression due to factors such as chronic illness, bereavement, reduced independence, and social role changes. Depression in this population is often underdiagnosed because symptoms may overlap with medical conditions.

D. Older adults have decreased interest in sexual activity: Sexual interest and activity can continue throughout the lifespan. While physiologic changes may alter sexual response, desire does not universally decline with age. Many older adults remain sexually active and value intimacy.