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The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply.
- A. Moderately intense exercises
- B. Balanced diet, rich in calcium
- C. Alternative medicine such as black cohosh
- D. Over-the-counter sleep aid
Correct Answer: A
Rationale: Rationale: Moderate-intensity exercises are recommended for managing menopausal symptoms like hot flashes and mood swings by improving overall health and reducing stress. Exercise can also help with weight management and bone health.
Summary:
- Balanced diet with calcium (B) is important for overall health but not specific to treating menopausal symptoms.
- Alternative medicine like black cohosh (C) may have limited evidence and can vary in effectiveness.
- Over-the-counter sleep aids (D) may help with sleep disturbances but are not specific to managing menopausal symptoms.
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A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. Which of the following medications should the nurse plan to administer?
- A. Digoxin
- B. Calcium gluconate
- C. Vitamin B6
- D. Propranolol
Correct Answer: C
Rationale: Vitamin B6 (pyridoxine) is used to treat nausea and vomiting in pregnancy, including hyperemesis gravidarum.
Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?
- A. Birth center
- B. Home birth
- C. Traditional hospital birth
- D. Labor, birth, and recovery room
Correct Answer: C
Rationale: Rationale:
1. Traditional hospital birth setting often involves medical interventions that can limit parent-infant interaction, such as continuous fetal monitoring and medication administration.
2. These interventions may restrict movement and bonding opportunities between the parent and infant during labor and immediately after birth.
3. In contrast, birth center and home birth settings typically prioritize natural childbirth experiences with minimal interventions to encourage bonding and parent-infant interaction.
4. Labor, birth, and recovery room, while providing a more private setting than a traditional hospital, may still involve medical interventions that can impact parent-infant interaction.
Summary:
A: Birth center and B: Home birth promote parent-infant interaction. D: Labor, birth, and recovery room may still involve interventions. C: Traditional hospital birth setting often limits parent-infant interaction due to medical interventions.
The nurse is assessing a 25-year-old female patient when the patient becomes tearful. The patient states that she has thin milky discharge from her nipples and two small masses on her left breast. She has lost over 40 pounds in the past year due to intensive exercises and finds that she needs to wear a sports bra during her sessions. The patient states that she is afraid that she will become the first member of her family to have breast cancer. Besides a negative mammogram, what other symptoms would correlate with this being a benign finding? Select all that apply.
- A. Milky discharge from nipples
- B. Extensive weight loss
- C. Painful masses
- D. Mood swings
Correct Answer: A
Rationale: The correct answer is A: Milky discharge from nipples. Milky discharge from nipples is often a benign finding and can be related to hormonal changes or medications. In this case, the patient's description of thin milky discharge in the context of her age, weight loss, and fear of breast cancer makes it more likely to be benign. The other choices are incorrect because extensive weight loss and painful masses could be concerning signs of malignancy, and mood swings are not directly related to breast cancer diagnosis. Therefore, the presence of milky discharge from the nipples in this patient's case would be more indicative of a benign finding.
A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?
- A. If my partner is Rh-negative, I will not receive the shot.
- B. I will receive the shot after delivery if my baby is Rh-negative.
- C. I should not receive any immunizations for 3 months after the shot.
- D. This shot may be given after birth to protect future pregnancies.
Correct Answer: A
Rationale: If the partner is Rh-negative, the fetus cannot be Rh-positive, so Rh (D) immune globulin is unnecessary.
The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply.
- A. Moderately intense exercises
- B. Balanced diet, rich in calcium
- C. Alternative medicine such as black cohosh
- D. Over-the-counter sleep aid
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Moderately intense exercises help manage menopausal symptoms by reducing hot flashes and improving mood.
2. Exercise also helps in maintaining bone health and reducing the risk of osteoporosis.
3. Physical activity promotes overall well-being and can alleviate symptoms like weight gain and insomnia.
Summary of why other choices are incorrect:
B. While a balanced diet rich in calcium is important for overall health, it is not a primary component of treating menopausal symptoms.
C. Alternative medicine like black cohosh may have some benefit, but evidence is inconclusive and not widely recommended.
D. Over-the-counter sleep aids may help with sleep disturbances, but they do not address the holistic management of menopausal symptoms.