A nurse caring for a 43-year-old client explains to the client that ovarian functions gradually decrease around this age. What is the implication of decreased ovarian function?
A) Susceptibility to fractures
B) Increases the risk of heart disease
C) Changes in sexual response
D) Inability to become pregnant
D
Feedback:
Because of the decrease in ovarian functions, the client loses the ability to become pregnant. Loss of estrogen makes the client susceptible to fractures and also increases the risk of heart disease. Changes in sexual response are usually related to physical changes in the vagina.
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Which of the following actions would help decrease the total health care costs in the United States?
a. Consolidate major health care facilities while expanding neighborhood primary care clinics b. Continue the move to computer-based medical records and other efficiencies in informatics c. Decrease current fraud and abuse d. Streamline and make more consistent all documents needed for third-party reimbursement
The nurse has developed a plan of care for a client who is having a surgical procedure and is at risk for the development of pneumonia
The nurse devises the outcome statement to read: "The client will have clear lungs by the third postoperative day." On the third postoperative day, the patient has left lower lobe crackles and infiltrates on the chest x-ray. What conclusion does the nurse reach for this client? A) The outcome is achieved, the problem is solved, and the nursing orders are discontinued. B) The outcome is not met, but progress is being made, and the plan of care is continued or revised with minor change. C) The outcome is not achieved, and the plan requires critical reevaluation and major revision. D) The outcome will be reassessed in 2 more days.
A patient has lamivudine-resistant hepatitis B and has been taking entecavir [Baraclude] for 2 years. The patient asks the nurse why the provider has recommended taking the drug for another year. What will the nurse tell the patient?
a. "Entecavir can reverse fibrosis and cirr-hosis of the liver when taken long term." b. "It is necessary to continue taking enteca-vir to avoid withdrawal symptoms." c. "The drug will be given until the infection is completely eradicated." d. "You will need to continue taking enteca-vir to prevent lactic acidosis and hepato-toxicity."
The nurse is preparing to administer a Mini-Mental Status Examination (MMSE) on a 75-year-old client admitted for clinical depression. The nurse's initial intervention for this specific client is to:
1. Plan for the test when the client will not to be rushed to complete it. 2. Repeat the instructions just prior to beginning the assessment. 3. Arrange for the client to be uninterrupted during the test. 4. Make sure the client is not hungry or in pain when taking the test.