Nokea
Which menopausal discomfort would the nurse anticipate when evaluating a woman for signs and symptoms of the climacteric?
- A. Headaches
- B. Hot flashes
- C. Mood swings
- D. Vaginal dryness with dyspareunia
Correct Answer: B
Rationale: Hot flashes are the most common discomfort caused by fluctuating estrogen levels in perimenopausal women. Other symptoms like headaches or mood swings may occur but are less common.
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Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?
- A. Varicosities of the legs
- B. Carpal tunnel syndrome
- C. Periodic numbness and tingling of the fingers
- D. Headaches
Correct Answer: D
Rationale: Headaches in the postpartum period can have a number of causes, some of which deserve medical attention.
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
- A. Cryosurgery
- B. Colposcopy
- C. Hysterectomy
- D. Internal radiation
Correct Answer: A
Rationale: Cryosurgery, laser surgery, and loop electrosurgical excision procedure (LEEP) are techniques used to treat preinvasive lesions. Colposcopy is the examination of the cervix with a stereoscopic binocular microscope that magnifies the view of the cervix.
Which condition is inappropriate to treat with exogenous progesterone?
- A. Thyroid dysfunction
- B. Recent miscarriage
- C. PCOD
- D. Oocyte retrieval
Correct Answer: A
Rationale: Thyroid dysfunction is treated with Synthroid for anovulation, not with progesterone.
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.
The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?
- A. Tolterodine is used to treat overactive bladders and to decrease urinary frequency,
urgency, and urge incontinence. - B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas.
- C. Tolterodine is used to facilitate weight loss by acting as an appetite suppressant.
- D. Tolterodine is used to improve blood flow to the pelvic muscles to decrease
urinary tract infections.
Correct Answer: B
Rationale: The correct answer is B: Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. Tolterodine is a medication used to treat overactive bladders by relaxing the bladder muscles, reducing urinary urgency, frequency, and urge incontinence. Improving tone and tissue in the urethral and vaginal areas can help in controlling bladder function. Choices A, C, and D are incorrect because tolterodine does not act as an appetite suppressant, facilitate weight loss, or improve blood flow to pelvic muscles to decrease urinary tract infections. The primary mechanism of action of tolterodine is related to bladder muscle relaxation rather than weight loss or blood flow improvement.