A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms with the lowest adverse effects she should be prescribed:
1. Low-dose oral estrogen
2. A low-dose estrogen/progesterone combination
3. A vaginal estradiol ring
4. Vaginal progesterone cream
3
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A client scheduled for a pulmonary function test asks what is involved in the test. The nurse should explain:
1. "You will have blood drawn from an artery in your wrist." 2. "A sensor is placed on your fingertip or earlobe, and your oxygen levels will be measured." 3. "An x-ray of your lungs is taken after a dye is injected into your vein." 4. "You will be asked to breathe in a specific manner, and measurements are taken."
The community health nurse finds the client collapsed outdoors. The nurse assesses that the client is shallow breathing and has a weak pulse. The 911 is called by the neighbor. Which nursing action is helpful while waiting for the ambulance?
A) Place a cool compress on head. B) Elevate the legs higher than the heart. C) Shake the client to arouse. D) Cover the client with a blanket.
An older patient with a newly diagnosed peptic ulcer asks why lifestyle alterations are necessary. What should the nurse explain to the patient about their new diagnosis?
1. "It is important to reduce alcohol; it stimulates gastric acid secretion." 2. "It is important to reduce alcohol; it acts to suppress gastric immunity." 3. "It is important to eat two large meals per day; this will reduce abdominal pain." 4. "It is important to reduce smoking because tobacco reduces the effectiveness of gastric ulcer medications."
When the type 2 diabetic patient says, "Why in the world are they looking at my hemoglobin? I thought my problem was with my blood sugar." The nurse responds that the level of hemoglobin A1c:
1. shows how a high glucose level can cause a significant drop in the hemoglobin level. 2. shows what the glucose level has done for the last 3 months. 3. indicates a true picture of the patient's nutritional state. 4. reflects the effect of high glucose levels on the ability to produce red blood cells.