A 49-year-old client comes to the clinic with complaints of severe perimenopausal symptoms including hot flashes, night sweats, urinary urgency, and vaginal dryness

The physician has prescribed a combination hormone replacement therapy of estrogen and progestin. When the client asks the nurse why she must take both hormones, the best reply is: A. "Hot flashes respond better when replacement includes both hormones."
B. "You are having very severe symptoms, so you need more hormones replaced."
C. "There is an increased risk of tissue abnormality inside the uterus if only one is given."
D. "Your blood pressure may become elevated if only one hormone is used."


C

Nursing

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To effectively influence improvements in the work setting and ensure that all patients consistently receive excellent care, it is important to do what? (Select all that apply.)

a. Align national, organizational, and unit level goals for QI b. Recognize external drivers of quality c. Develop skills to apply QI models and tools d. Review previous attainment of predetermined standards

Nursing

The clinic nurse is concerned about Carol, a 28-year-old woman who is undergoing her second in vitro fertilization (IVF) cycle. Carol is anxious, sad and concerned that her partner does not feel the same way about achieving a pregnancy

The nurse recommends that Carol: Select all answers that apply: A) Talk honestly with her partner B) Engage in relaxation techniques, such as exercise C) Consider using complementary preparations such as blue cohash D) Recognize the fact that it takes an average of five treatments to be successful with in vitro fertilization (IVF)

Nursing

The outcome of the nurse's expressions of sympathy instead of empathy towards the client often leads to

A. enhanced client coping. B. lessening of client emotional pain. C. increased hope for client improvement. D. decreased client communication.

Nursing

The nurse is caring for a client with psychosis-like symptoms. Which explanation of these symptoms to the family is the most appropriate?

1. The only causes for psychosis are delusions, illusions, and disorganized behaviors. 2. Psychotic symptoms are only seen in clients with schizoaffective disorder. 3. Psychosis-like symptoms can be caused by trauma, overdoses of certain medications, and brain damage. 4. Psychotic symptoms are only seen in clients who become hospitalized.

Nursing