Nokea
What side effect would the nurse instruct a woman to look for when starting hormone replacement therapy (HRT)?
- A. Fatigue
- B. Headache
- C. Weight loss
- D. Amenorrhea
Correct Answer: B
Rationale: Patients initiating HRT are reminded to have regular follow-up care and report headaches, vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
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At her regular gynecological examination, a woman tells the nurse that she is concerned about osteoporosis. What suggestion can the nurse make to this patient?
- A. Take a vitamin E supplement daily.
- B. Do isometric exercises that can be practiced every day.
- C. Include more dairy products and green, leafy vegetables in her diet.
- D. Try to limit her intake of caffeine.
Correct Answer: C
Rationale: Foods rich in calcium include milk, dairy products, and green, leafy vegetables.
The nurse is instructing a man considering a vasectomy. What instruction will the nurse provide to address the postoperative time period?
- A. Intercourse should be delayed for 6 weeks.
- B. Sperm will still be ejaculated for a month.
- C. Erections will be difficult to maintain.
- D. Monthly sperm counts for a year will be necessary.
Correct Answer: B
Rationale: Because sperm are distal to the severed vas deferens, sperm will be in the ejaculate for about a month. A sperm count after that period of time should be performed to confirm the absence of sperm.
What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
Correct Answer: B
Rationale: Molding is a common occurrence in vaginal deliveries due to the head passing through the birth canal. Asking about the delivery method helps assess whether molding is expected and provides an opportunity to reassure the mother that it typically resolves without complications.
What information will the nurse provide when educating a woman about the correct use of a diaphragm?
- A. Use of a spermicidal cream or jelly is not recommended.
- B. Leave in place for at least 6 hours after intercourse.
- C. Remove immediately after intercourse for douching.
- D. It is effective for up to 48 hours if positioned properly.
Correct Answer: B
Rationale: To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours.
What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?
- A. Aerobic exercise helps control hot flashes.'
- B. Increase the amount of calcium and vitamin D in your diet.'
- C. Dress in layers of cotton clothing.'
- D. Drink plenty of fluids, particularly caffeinated beverages.'
Correct Answer: C
Rationale: Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman to take off or put on clothes when symptoms occur.