Nokea
A couple has come to the infertility clinic because they have been unable to get pregnant even though they have been trying for over a year. Diagnostic tests are planned for the woman to ascertain if ovulation is regular and whether her endometrium is adequately supported for implantation. What test would the nurse expect to have ordered for this woman?
- A. Serum progesterone
- B. Abdominal CT
- C. Oocyte viability test
- D. Urine testosterone
Correct Answer: A
Rationale: Serum progesterone levels are used to assess ovulation regularity and endometrial support for implantation, key factors in female infertility evaluation. Abdominal CT, oocyte viability tests, and urine testosterone are not standard for this purpose.
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A community health nurse is leading a health education session addressing menopause and other aspects of womens health. What dietary supplements should the nurse recommend to prevent morbidity associated with osteoporotic fractures?
- A. Vitamin B12 and vitamin C
- B. Vitamin A and potassium
- C. Vitamin B6 and phosphorus
- D. Calcium and vitamin D
Correct Answer: D
Rationale: Calcium and vitamin D supplementation are recommended to reduce bone loss and prevent osteoporotic fractures, a key concern in menopause. Other listed supplements do not address bone health effectively.
A nurse presenting an educational event for a local community group is addressing premenstrual syndrome (PMS). What treatment guideline should the nurse teach this group?
- A. Avoid excessive fluid intake.
- B. Increase the frequency and intensity of exercise.
- C. Limit psychosocial stressors in order to reduce symptoms.
- D. Take opioid analgesics as ordered.
Correct Answer: B
Rationale: In general, the patient is encouraged to increase or initiate an exercise program to help relieve symptoms of PMS. Increased fluid intake is recommended, not avoidance. Opioids are not used to treat PMS, and while stress reduction has general benefits, it is not specifically noted to alleviate PMS symptoms.
A patient in her late fifties has expressed to the nurse her desire to explore hormone replacement therapy (HRT). Based on what aspect of the patients health history is HRT contraindicated?
- A. History of vaginal dryness
- B. History of hot flashes and night sweats
- C. History of vascular thrombosis
- D. Family history of osteoporosis
Correct Answer: C
Rationale: The use of HRT is contraindicated in women with a history of vascular thrombosis, active liver disease, some cases of uterine cancer, and undiagnosed vaginal bleeding. HRT is beneficial in women with a risk for osteoporosis and can relieve symptoms like vaginal dryness, hot flashes, and night sweats. A history of vascular thrombosis is a clear contraindication.
A female patient with cognitive and physical disabilities has come into the clinic for a routine checkup. When planning this patients assessment, what action should the nurse take?
- A. Ensure that a chaperone is available to be present during the assessment.
- B. Limit the length and scope of the health assessment.
- C. Avoid health promotion or disease prevention education.
- D. Avoid equating the patient with her disabilities.
Correct Answer: D
Rationale: When working with women who have disabilities, it is important that the nurse avoid equating the woman with her disability; the nurse must make an effort to understand that the patient and the disability are not synonymous. This ensures respectful and individualized care. A chaperone may not be required unless requested or indicated by policy. Limiting the assessment or avoiding education may compromise care quality and is not appropriate.
By initiating an assessment about sexual concerns what does the nurse convey to the patient? Select all that apply.
- A. That sexual issues are valid health issues
- B. That it is safe to talk about sexual issues
- C. That sexual issues are only a minor aspect a persons identity
- D. That changes or problems in sexual functioning should be discussed
- E. That changes or problems in sexual functioning are highly atypical
Correct Answer: A,B,D
Rationale: By initiating an assessment about sexual concerns, the nurse communicates that issues about changes or problems in sexual functioning are valid and significant health issues, that it is safe to discuss them, and that they should be addressed. Sexual issues are not portrayed as minor or highly atypical.