Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT)?
1. "I have a lower chance of developing breast cancer while I am taking this medication."
2. "This medication protects me from uterine cancer."
3. "I am protected from developing Alzheimer disease because I am taking this medication."
4. "I have a lower chance of having a heart attack until I turn 60."
Correct Answer: 4
Rationale 1: Clients who use combination HRT are at an increased risk of developing breast cancer.
Rationale 2: Clients who use combination HRT are at an increased risk of developing endometrial cancer.
Rationale 3: Clients who use combination HRT are at an increased risk of dementia.
Rationale 4: Clients between the ages of 50 and 59 who use combination HRT actually experience a slight decrease in adverse cardiovascular events.
Global Rationale: Clients between the ages of 50 and 59 who use combination HRT actually experience a slight decrease in adverse cardiovascular events. Clients are at increased risk for developing breast cancer, endometrial cancer, and dementia.
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a. A focus on curing the disease process b. Symptom management c. Maximizing the individual's strengths d. Prevention of disabling side effects
Clients in long-term care facilities who are uncooperative with oral hygiene, including teeth brushing, are likely to benefit from the use of which of the following agents in the mouth care they do receive?
A) lemon and glycerine swabs B) Nystatin C) undiluted hydrogen peroxide D) chlorhexidine (Peridex)
The students have been assigned a 70-page reading assignment to be prepared before the next class. Which of the following is not likely a helpful part of the planning process for this assign-ment?
a. Begin within 3 days of becoming aware of the assignment. b. Examine schedule. c. Determine study time available. d. Divide the assignment into manageable chunks according to the schedule.
When caring for a patient who has advanced from stage C to stage D of the American College of Cardiology (ACC)/American Heart Association (AHA) heart failure classification system, the nurse instructs the patient and family that this stage includes the addition of:
A) lifestyle modification and management of underlying disorder. B) ACE inhibitors, angiotensin receptor blockers (ARBs), blood pressure control, or beta blockers. C) diuretics, aldosterone blockers, or vasodilators. D) interventional therapy with left ventricular assist device or heart transplantation.