A nurse provides teaching to a patient who has had a hysterectomy and is about to begin hormone therapy to manage menopausal symptoms. Which statement by the patient indicates understanding of the teaching?
a. "Because I am not at risk for uterine can-cer, I can take hormones indefinitely."
b. "I can take estrogen to reduce my risk of cardiovascular disease."
c. "I should take the lowest effective dose for the shortest time needed."
d. "I will need a progestin/estrogen combi-nation since I have had a hysterectomy."
C
For patients who have undergone hysterectomy, progestin is unnecessary; estrogen-only prepara-tions still carry increased risk of breast cancer and should be taken in the lowest effective dose for the shortest time possible. Even though uterine cancer is no longer a possibility, breast cancer is still a risk. Studies have shown no protection against coronary heart disease but increased risk of stroke and breast cancer with estrogens.
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A patient with uncomplicated hypertension is prescribed furosemide (Lasix). The nurse is aware that this medication is a:
A) Loop diuretic for volume depletion B) Potassium-sparing diuretic to inhibit aldosterone C) Thiazide diuretic that affects the vascular smooth muscles D) Peripheral agent to impair synthesis and reuptake of norepinephrine
The nurse is planning care for a child with asthma. What would be the appropriate goals of treatment for this child? (Select all that apply.)
A) Preventing symptoms B) Decreasing activity levels C) Preventing recurrence D) Decreasing fluid intake E) Relieving pain
Where is the main site of aldosterone synthesis?
a. Liver b. Kidneys c. Adrenal cortex d. Hypothalamus
The nurse is evaluating the outcome of psychosocial interventions with an incarcerated client. The treatment can be said to have been effective if the client shows the ability to do what?
A) Reason and show good judgment B) Avoid future confrontations with the law C) Find another place to live on release D) Follow instructions and explain their rationale