The client asks what causes "hot flashes" during menopause. What is the nurse's best response?
A. "The increased fat you gain during menopause acts like insulation and makes you feel warmer."
B. "Hot flashes are an old wives' tale and not one of the common symptoms asso-ciated with menopause."
C. "Because you are not losing as much blood each month, you actually have better circulation and less anemia."
D. "The lack of estrogen increases production of other hormones that are released in surges and cause your blood vessels to dilate."
D
Through the negative feedback mechanism, when circulating levels of estrogen are low, more follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are secreted from the anterior pituitary gland. The hormones are released in bursts, or surges, rather than as a continuous amount and are thought to cause vasomotor instability.
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In the Mexican health care system, what is the scope of practice of the partera?
A. The care given is confined to the pregnant woman. B. Only provides physical care. C. Acts alone without doing other consultations or referrals. D. Does not participate in labor and delivery.
To reduce jet lag in a patient traveling from the United States to Europe, what recommendation should the nurse make?
A) Spend time outside during daylight at the destination. B) Take melatonin in the morning until adjusted to time. C) Drink caffeinated coffee in the early evening to overcome tiredness. D) Take a long-acting hypnotic at bedtime.
The nurse is talking with the parents of a 10-year-old boy who was caught stealing at school. Which of the following topics should the nurse cover?
A) Having the child return the property in front of his class B) Discussing ways for the child to save face C) Finding out what is going on at home D) Reminding the child daily that stealing is wrong
The nurse would expect to observe which characteristics in a patient with type II respiratory failure?
A) Hypoxemia without hypercapnia B) Hypoxemia with hypercapnia C) Hypoxemia with hypocapnia D) Hyperventilation