Nokea
What complication is high risk for women on hormone replacement therapy (HRT) for an extended period?
- A. Endometrial cancer.
- B. Gynecomastia.
- C. Renal dysfunction.
- D. Mammary hypertrophy.
Correct Answer: A
Rationale: Long-term HRT increases endometrial cancer risk.
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Before discharge, what health teaching should the nurse provide to a woman diagnosed with pelvic inflammatory disease (PID)?
- A. Endometriosis.
- B. Menopause.
- C. Ovarian hyperstimulation.
- D. Sexually transmitted infections.
Correct Answer: D
Rationale: PID is often caused by untreated STIs, so education about STIs is crucial.
Which aspect of client wellness has not been a focus of health during the 21st century ?
- A. Disease prevention
- B. Health promotion
- C. Wellness
- D. Analysis of morbidity and mortality
Correct Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.
How should the nurse interpret the results of a study comparing incidence of sexually transmitted diseases between two populations?
- A. Because the CI of the RR includes the value of 1, the difference between the groups is meaningless.
- B. A 95% confidence interval is a statistically significant finding.
- C. A relative risk of 0.80 is moderately powerful.
- D. Because there is no P value reported for the CI, the nurse is unable to make any conclusions about the data.
Correct Answer: A
Rationale: If the confidence interval includes 1, the difference is not statistically significant.
A patient would like to use the calendar method for contraception. She has charted her menstrual cycles for several months. Her longest menstrual cycle was 39 days long, and her shortest period was 29 days long. The nurse educates the patient to avoid condomless intercourse during what range of days of the cycle?
- A. day 9 through day 19
- B. day 10 through day 15
- C. day 12 through day 16
- D. day 11 through day 28
Correct Answer: B
Rationale: In the calendar method of contraception, a woman tracks her menstrual cycle to determine the fertile window in which she is most likely to conceive. The fertile window is typically considered to be the days leading up to and including ovulation.
The nurse is providing discharge teaching to a 20-year-old mother who has had her first male child. Which statement by the mother demonstrates that she understands the discharge teaching regarding his circumcision?
- A. I will observe the whitish-yellow drainage on his penis, but I will not remove it.
- B. I will bring him back to the clinic in 3 days to have the drainage removed.
- C. I will use antibiotic ointment on his penis with every diaper change.
- D. I will rub the area briskly with a washcloth to remove the drainage.
Correct Answer: A
Rationale: Whitish-yellow drainage is normal and should not be removed.