Women with an intact uterus should be treated with both estrogen and progestin due to:

1. Increased risk for endometrial cancer if estrogen alone is used
2. Combination therapy provides the best relief of menopausal vasomotor symptoms
3. Reduced risk for colon cancer with combined therapy
4. Lower risk of developing blood clots with combined therapy


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Nursing

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The nurse is caring for a child who is dying. The nurse is feeling conflicted when the parents are unable to discontinue aggressive therapy that the nurse feels is extending the child's suffering. Which action by the nurse is most appropriate?

1. Call a meeting with the physician taking care of the patient. 2. Talk to the parents and convince them this is not right. 3. Inform the nurse manager that she needs to talk with the parents. 4. Consult with the hospital Ethics Committee.

Nursing

A nurse is performing preoperative teaching for an older adult who is scheduled to have a cata-ract extraction and lens implant. The nurse includes which of the following in the teaching plan? (Select all that apply.)

a. Avoid lifting heavy objects after the sur-gery b. Avoid bending from the waist after the surgery c. Take stool softeners as needed d. Maintain strict control of your blood sugar and blood pressure e. Maintain a dry sterile dressing over the eye for 10 days

Nursing

The nurse understands that when the spinal cord is injured, ischemia and edema result. How should the nurse explain to the patient the reason that the extent of injury cannot be determined for several days to a week?

A. "Neurons need time to regenerate, so stating the extent of injury early is not predictive of how the patient progresses." B. "Tissue repair does not begin for 72 hours." C. "Necrosis of gray and white matter does not occur until days after the injury." D. "The edema extends the level of injury two cord segments above and below the affected level."

Nursing

Order: Pepcid (famotidine) 20 mg IVPB q.12h. The label on the 4 mL vial reads 10 mg/mL. The manufacturer recommends adding the famotidine to 50 mL of D5W and infusing the medication over 60 minutes

At how many microdrops per minute will you set the IVPB solution to infuse? 1. 52 mcgtt/min 2. 20 mcgtt/min 3. 125 mcgtt/min 4. 50 mcgtt/min

Nursing