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NUR 163 FINAL EXAM
EXAM WITH CORRECT SOLUTIONS.
If a female is in menopause has sudden onset vaginal bleeding what do you do? - correct answer- report it
when would a uterine prolapse be most likely to occur? - correct answer- after multiple vaginal births or when anything weakens the muscular tissues of the uterus
TX: hysterectomy
or can sling it back up
What are the signs and symptoms of an enlarged prostate? - correct answer- decreased urine (stream) painful urination Nocturia frequent urination (you should also schedule an exam if any of these things should occur)
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What does it mean if you see scattered bruises on the forearms of an older adult? - correct answer- It is a normal sign of aging, as we age our capillaries become more fragile.(we bruise easier *forearms especially*, called Senile purpura)
What common circulation decreasing disease process in the older male population can cause erectile dysfunction? - correct answer- Diabetes
If you are working in a LTCF and an older married couple are roomed together and you walk in on them having sex, what should you do? - correct answer- Provide Privacy Put a Do Not Disturb sign on door
Do older adults get sexually transmitted diseases easier than younger adults/teenagers? - correct answer- Yes, older adults are at a higher risk because of their weakened immune systems.
Can normal age related changes contribute to sexual dysfunction? - correct answer- yes, due to weakened circulation.
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Besides abstinence what is the best way to avoid getting an STI? - correct answer- Condoms (safe sex practices)
When an older adult female (menopausal) has painful(dryness) during sexual intercourse, what could possibly alleviate this issue? - correct answer- water soluble lubricant Pain medications 30 minutes prior to sexual experience
Why do older adults procrastinate going to the doctor? - correct answer- Fear No motivation Transportation Financially unstable
What would you question if an older adult is not adhering to a medication or TX regimen? - correct answer- Ask them why?Are they in denial?Can you afford your tx?Do you need transportation?Do you understand why you need these TX?
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