A client has been diagnosed with polycystic ovarian syndrome (PCOS). The nurse should encourage what health promotion activity to address the client's hormone imbalance and infertility?

Strict adherence to oral contraceptive use is necessary to maintain hormonal balance.

Surgical removal of ovarian cysts is the primary treatment for PCOS.

PCOS cannot be managed, and no treatment options are available.

Weight loss and lifestyle modifications can help improve PCOS symptoms.

Answer and Explanation

The Correct Answer is D

A. Strict adherence to oral contraceptive use is necessary to maintain hormonal balance: This is incorrect. Oral contraceptives can help manage symptoms of PCOS by regulating menstrual cycles and reducing androgen levels, but they are not the only solution. Lifestyle modifications and weight loss can also significantly impact hormonal balance.
B. Surgical removal of ovarian cysts is the primary treatment for PCOS: This is incorrect. Surgery is not the primary treatment for PCOS. Management typically focuses on lifestyle changes and medications rather than surgical intervention.
C. PCOS cannot be managed, and no treatment options are available: This is incorrect. PCOS can be managed with a combination of lifestyle changes, medications, and, in some cases, surgical options.
D. Weight loss and lifestyle modifications can help improve PCOS symptoms: This is correct. Weight loss and lifestyle changes are fundamental in managing PCOS symptoms, as they can help improve insulin sensitivity and reduce androgen levels, which can alleviate symptoms and improve fertility.

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Correct Answer is B

Explanation

A. History of sexually transmitted infection (STI): This is incorrect. A history of STI is not a contraindication for menopausal hormone therapy.
B. History of breast cancer: This is correct. Hormone therapy is not recommended for individuals with a history of breast cancer due to the potential risk of cancer recurrence or progression.
C. History of chronic obstructive pulmonary disease (COPD): This is incorrect. While HT might not be the primary treatment for COPD, it is not contraindicated solely due to COPD.
D. History of thyroiditis: This is incorrect. A history of thyroiditis does not contraindicate the use of hormone therapy for menopause.

A. A 28-year-old client who has a history of pelvic inflammatory disease B. A 26-year-old client who is mobile post appendectomy C. A 38-year-old client who reports smoking one pack of cigarettes every day D. A 32-year-old client who has fibrocystic breast disease

Correct Answer is C

Explanation

A. A 28-year-old client who has a history of pelvic inflammatory disease: This is incorrect. While a history of pelvic inflammatory disease does not necessarily contraindicate oral contraceptive use, it should be assessed for any other potential complications or contraindications.
B. A 26-year-old client who is mobile post appendectomy: This is incorrect. Recent surgery, such as an appendectomy, is not a contraindication for oral contraceptives, provided the client is otherwise healthy.
C. A 38-year-old client who reports smoking one pack of cigarettes every day: This is correct. Smoking, especially in women over 35, is a contraindication for oral contraceptives due to the increased risk of cardiovascular events such as thrombosis.
D. A 32-year-old client who has fibrocystic breast disease: This is incorrect. Fibrocystic breast disease does not contraindicate the use of oral contraceptives.

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A client has been diagnosed with polycystic ovarian syndrome (PCOS). The nurse should encourage what health promotion activity to address the client's hormone imbalance and infertility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?

Correct Answer is B

Explanation

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

Correct Answer is C

Explanation

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A nurse is presenting educational materials to a group of middle-aged clients about menopausal hormone therapy following total hysterectomy. Which of the following information should the nurse include in the education?

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