A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes." The nurse's response is based on the knowledge that
a. only the uterus was removed, and the ovaries are still producing estrogen.
b. the patient is too young to have hot flashes associated with menopause.
c. the uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause.
d. the uterus and fallopian tubes were removed, and she will not experience "hot flashes."
C
A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce menopause and hot flashes may occur.
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A patient with hearing loss is being evaluated to determine whether the loss is sensorineural or conductive. Which of the following Weber's test results indicates the presence of a sensorineural loss?
A) The sound is heard better in the ear in which he has better hearing. B) The sound is heard equally in both ears. C) The sound is heard better in the ear in which he has poorer hearing. D) The sound is heard longer in the ear in which he has better hearing.
During their school-age years, children understand concepts best if they can see the concept illustrated. This type of thinking is termed
A) concrete thought. B) black-and-white reasoning. C) school-aged rhetoric. D) formal thought.
Which of the following is predominant in a shelter for disaster victims?
a. Stress b. Communicable disease c. Chronic illness d. Injuries requiring first aid
Managed care has lost much of its influence in healthcare. Why is managed care still of concern?
1. It developed systems that provided high quality care. 2. Many managed care strategies were adopted by third- party payers. 3. It instituted strategies that resulted in increased patient satisfaction. 4. Managed care strategies greatly reduced the cost of healthcare across the United States.