Nokea
The nurse cautions that women with a history of which disorders are not candidates for HRT? (Select all that apply.)
- A. Melanoma
- B. Estrogen-dependent breast cancer
- C. Hepatitis C
- D. Thromboembolic disease
- E. Hyperthyroidism
Correct Answer: A,B,C,D
Rationale: Persons who are absolutely restricted from HRT are those with melanoma, estrogen-dependent breast cancers, chronic liver disorders, thromboembolic disease, and seizure disorders.
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A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. With what are these findings consistent?
- A. Candidiasis
- B. Trichomoniasis
- C. Bacterial vaginosis
- D. Chlamydia
Correct Answer: A
Rationale: The signs and symptoms of candidiasis include inflammation of the vagina and vulva and a cottage cheese appearance to the vaginal discharge.
While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting?
- A. Molding
- B. Caput succedaneum
- C. Cephalohematoma
- D. Enlarged fontanelle
Correct Answer: C
Rationale: A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone. It does not cross the suture line.
On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5?°C (97.7?°F). What will her temperature measurement most likely be if ovulation takes place on day 14?
- A. 35.9?°C (96.7?°F)
- B. 36.3?°C (97.3?°F)
- C. 36.7?°C (98.1?°F)
- D. 37.1?°C (98.9?°F)
Correct Answer: C
Rationale: At the time of ovulation, body temperature will increase slightly, about 0.2?°C (0.4?°F).
The nurse is providing an informational session on oral contraceptives. Which of the following decrease effectiveness of oral contraceptives?
- A. Antihistamines for seasonal allergies
- B. Iron preparations for treatment of anemia
- C. Appetite suppressants for weight reduction
- D. Anticonvulsants for treatment of epilepsy
Correct Answer: D
Rationale: Anticonvulsants decrease the effectiveness of oral contraceptives.
Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
- A. Super-absorbency tampons are effective for overnight absorption.
- B. Tampons should be changed at least every 4 hours.
- C. Gloves should be worn when changing tampons.
- D. TSS can be prevented by using a pad for the first 2 days of menstrual flow.
Correct Answer: B
Rationale: Tampons should be changed every 4 hours, because a blood-soaked tampon is an excellent environment for bacteria.