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?

Hormone therapy decreases the risk of cardiovascular events.

Hormone therapy may prevent osteoporotic fractures.

Hormone therapy should be taken in doses throughout the day.

If a dose is missed, then the next dose should be doubled.

Answer and Explanation

The Correct Answer is B

A. Hormone therapy decreases the risk of cardiovascular events: This is incorrect. Hormone therapy can actually increase the risk of cardiovascular events, including heart disease and stroke.
B. Hormone therapy may prevent osteoporotic fractures: This is correct. Hormone therapy can help maintain bone density and reduce the risk of osteoporotic fractures in women undergoing menopause.
C. Hormone therapy should be taken in doses throughout the day: This is incorrect. Hormone therapy is usually taken in a single daily dose or as directed by a healthcare provider, not throughout the day.
D. If a dose is missed, then the next dose should be doubled: This is incorrect. Missing a dose of hormone therapy should be managed according to the provider's instructions, which typically do not involve doubling the next dose.

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Correct Answer is B

Explanation

A. Extreme abdominal pain with intercourse: This is less specific for endometrial cancer and more indicative of conditions such as pelvic inflammatory disease or endometriosis.
B. Postmenopausal bleeding: This is correct. Postmenopausal bleeding is a common symptom of endometrial cancer and warrants further evaluation.
C. Decreased white blood cell count: This is incorrect. Endometrial cancer does not typically present with a decreased white blood cell count; it may present with normal or elevated levels depending on the stage and presence of infection.
D. Bilateral swelling on the posterior of the vulva: This is incorrect. Swelling of the vulva is not characteristic of endometrial cancer but may be associated with other gynecological issues.

A. A client who reports flank pain radiating to the groin B. A client who has multiple fractures C. A client with partial thickness burns to both hands D. A client who has a punctured femoral artery

Correct Answer is D

Explanation

A. A client who reports flank pain radiating to the groin: This could indicate renal colic or a kidney stone. While painful and concerning, it is not as immediately life-threatening as severe hemorrhage.
B. A client who has multiple fractures: Multiple fractures are serious but may not be as immediately life-threatening as severe hemorrhage or airway compromise.
C. A client with partial thickness burns to both hands: While painful and needing care, partial thickness burns are less critical compared to life-threatening hemorrhage.
D. A client who has a punctured femoral artery: This is an emergent situation because it involves severe hemorrhage. The femoral artery is a major artery, and puncture could lead to life-threatening blood loss and requires immediate intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just received the diagnosis of endometrial cancer. During the nursing assessment, which of the following manifestations is likely to be reported by this client?

Correct Answer is B

Explanation

A nurse in the emergency department is triaging clients following a mass casualty event. The nurse should identify which of the following clients as emergent?

Correct Answer is D

Explanation

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?

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