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ATI Medical Surgical Nursing, Assessment of the Reproductive System
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The nurse is counseling a postmenopausal woman about her new stress incontinence. Which statement by the nurse is most important? a. “You can try a variety of briefs and undergarments.” b. �... ��It will be important to keep that area clean and dry.” c. “I can refer you to a good incontinence clinic.” d. “Unfortunately, incontinence is common in women your age.” ANS: B After menopause, the vagina becomes dry, thinner, and smoother. This atrophy places the vagina at risk for infection. The combination of this fact with the presence of urine places the woman at higher risk for infection. The nurse should teach the client good hygienic practices to reduce the likelihood of infection. Education about briefs/undergarments may be needed, and a referral to an incontinence clinic would be very helpful, but neither takes priority over preventing infection. Stating that incontinence is common is not a helpful strategy. DIF: Cognitive Level: Application/Applying or higher REF: N/A TOP: Client Needs Category: Physiological Integrity (Reduction of Risk Potential—Potential for Complications from Surgical Procedures and Health Alterations) MSC: Integrated Process: Teaching/Learning [Show More]
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