What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?
a. "No. HRT is not helpful after the age of 60."
b. "Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer."
c. "No. HRT is reliant on some natural estrogen production from the ovaries."
d. "Yes. HRT is a widely accepted therapy for prevention of bone loss."
ANS: B
HRT is helpful to prevent bone loss, but the risks of cardiovascular complications and cancer have made the choice of HRT controversial.
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The nurse understands that the genetic possibility of a woman having a male or a female child is based on the single sex chromosome provided by each parent (mother is XX, father is XY, and each contributes one chromosome)
Fill in the boxes below with the possibilities based on the single chromosome that is contributed by each parent in these four possible combinations. For the purpose of this exercise, the mother's chromosomes are designated X(m1) and X(m2), and the father's are designated X(f) and Y(f). The result of any XX chromosome pair yields a girl, and XY a boy. 1. Mother's sex chromosome _____ Father's sex chromosome _____ Child is a _____________ 2. Mother's sex chromosome _____ Father's sex chromosome _____ Child is a _____________ 3. Mother's sex chromosome _____ Father's sex chromosome _____ Child is a _____________ 4. Mother's sex chromosome _____ Father's sex chromosome _____ Child is a _____________
At the completion of a genetic assessment, the nurse learns that a patient has three family members diagnosed with rectal cancer before the age of 40 years. What should the nurse discuss with the patient?
1. importance of having screening for colorectal cancer at an earlier age 2. importance of ingesting a diet high in protein and carbohydrates 3. ways to maximize time spent in exercise 4. reasons why having children would not be recommended for this patient
The nurse prepares a client for a lower extremity angiogram. What information does the nurse include in client teaching to prevent a postprocedure hemorrhage?
1. Dye injection makes most clients feel warm. 2. Sedation makes clients sleepy but cooperative. 3. Logrolling onto a bedpan enables clients to void. 4. Postprocedure analgesia manages client discomfort.
A client engages in frequent temper tantrums that usually result in her parents giving in to her demands. The client's tantrum resolves when she gets her way. A nurse identifies that the parents' behavior is being affected by the client's behavior
In this case, the parent's behavior is being: A) Shaped. B) Modeled. C) Positively reinforced. D) Negatively reinforced.