A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients.
Which of the following factors should the nurse consider?
(Select all that apply.).
Decreased immune system function with aging.
Lack of knowledge or awareness about STIs.
Reduced use of condoms or other barrier methods.
Increased number of sexual partners or casual encounters.
Increased vaginal dryness or atrophy with menopause.
Correct Answer : A,B,C,D
The correct answer is A, B, C and D.
These are all factors that can increase the risk of sexually transmitted infections (STIs) in older adult clients.
A. Decreased immune system function with aging. This can make older adults more susceptible to infections and less able to fight them off.
B. Lack of knowledge or awareness about STIs.
Older adults may not have received adequate education or information about STIs, their symptoms, prevention and treatment. They may also have misconceptions or stigma about STIs that prevent them from seeking help or testing.
C. Reduced use of condoms or other barrier methods.
Older adults may not perceive themselves as at risk of STIs or may not know how to use condoms correctly or consistently. They may also face barriers such as cost, availability, embarrassment or partner resistance to using condoms.
D. Increased number of sexual partners or casual encounters.
Older adults may have more opportunities for sexual activity due to factors such as divorce, widowhood, online dating, travel or retirement. They may also engage in sexual behaviors that expose them to multiple or unknown partners, such as sex work, drug use or group sex.
Choice E is wrong because increased vaginal dryness or atrophy with menopause is not a risk factor for STIs in older adult clients.
While this condition can cause discomfort, pain or bleeding during sexual intercourse, it does not increase the likelihood of acquiring or transmitting an STI. However, it may affect the quality of life and sexual satisfaction of older women and their partners, and may require medical attention or lubrication products.
: Johnson BK.
Sexually transmitted infections and older adults. J Gerontol Nurs 2013;39(11):53-60. : World Health Organization (WHO).
Sexually transmitted infections (STIs). 2022 Aug 22. : Journal of Gerontological Nursing (JGN).
Sexually Transmitted Infections and Older Adults.
2013 Sep 18.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B.
Older adults may experience changes in sexual response or function due to physiological factors.This is because aging can affect the sex organs, hormones, blood flow, and nerve signals that are involved in sexual arousal and performance.These changes do not mean that older adults cannot enjoy a satisfying sex life, but they may require some adjustments or treatments to overcome any difficulties.
Choice A is wrong because older adults have the same need for intimacy and affection as younger adults, and sexuality is an important component of emotional and physical intimacy that can enhance well-being and quality of life.
Choice C is wrong because older adults with chronic diseases or disabilities can still have sexual activity, as long as they are comfortable and safe.They may need to consult with their health care providers about any precautions or modifications they should make to accommodate their conditions.
Choice D is wrong because older adults are not at lower risk for sexually transmitted infections (STIs) than younger adults.In fact, older adults may be more vulnerable to STIs due to lower immune function, thinner vaginal tissues, lack of condom use, and other factors.
Therefore, older adults should practice safe sex and get tested regularly for STIs.
Normal ranges for sexual response or function vary widely depending on the individual, the partner, the situation, and other factors.
There is no one standard or ideal way to experience sexuality and intimacy in older adulthood.The most important thing is to communicate openly with one’s partner and health care provider about any concerns or preferences, and to seek help if needed.
Correct Answer is A
Explanation
The correct answer is A.
“I will use a walker until I can walk without pain.” This statement indicates a need for further teaching because the client should use a walker or other assistive device until they have regained their balance, flexibility and strength, not just until the pain subsides.Using a walker too long or too little can affect the healing process and the stability of the new hip joint.
Choice B is correct because the client should avoid crossing their legs or bending their hip more than 90 degrees to prevent dislocating the new hip joint.
Choice C is correct because the client should sleep on their back with a pillow between their legs to keep the hip in a neutral position and prevent excessive internal or external rotation.
Choice D is correct because the client should apply ice to their hip if it becomes swollen or inflamed to reduce pain and inflammation.The client should also elevate their leg and notify their healthcare provider if they notice any signs of infection, such as fever, chills, redness, warmth or drainage from the incision site.
Normal ranges for hip replacement surgery recovery vary depending on the individual and the type of surgery, but some general guidelines are:.
• The client should be able to walk with a cane or crutches within 2 to 4 weeks after surgery.
• The client should be able to resume most daily activities within 6 to 12 weeks after surgery.
• The client should avoid high-impact activities, such as running, jumping or contact sports, for at least 6 months after surgery.
• The client should have regular follow-up visits with their healthcare provider and physical therapist to monitor their progress and adjust their treatment plan as needed.
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