A postmenopausal patient who has had a hysterectomy and who has a family history of coronary heart disease reports experiencing vaginal dryness and pain with intercourse,
but tells the nurse that she doesn't want to take hormones because she is afraid of adverse effects. The nurse will suggest that the woman asks her provider about:
a. Depo Provera.
b. Estraderm.
c. low-dose estrogens.
d. Premarin vaginal.
ANS: D
Estrogens for intravaginal administration are used for local effects, primarily to treat vulval and vaginal atrophy. Because these preparations bypass the liver, the total dose is reduced and there is a lower risk of systemic effects. Depo Provera is a progesterone and is not indicated. Transdermal estrogen is used to treat hot flushes. Low-dose estrogens still have systemic effects.
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Common causes of congestive heart failure (CHF) in an older adult would not include
a. Thyroid disease b. Anemia c. Diabetes d. Heart valve calcification
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Indicate whether the statement is true or false
A patient is scheduled for a bone marrow aspiration. The nurse would reinforce which teaching about this procedure?
1. Bone marrow fluid will be drawn into a needle. 2. The sample will be taken from a vertebra in the neck. 3. Bone marrow fluid and a piece of bone will be collected. 4. The patient will receive general anesthesia for this procedure.
A client is ordered to receive Mylanta II. The nurse is aware that the ideal timing for taking this medication is:
a. with each meal. b. 1 half-hour before meals. c. 1 to 3 hours after meals. d. upon arising and at bedtime.