A woman with a family history of breast cancer had her last menstrual period 12 months ago and is experiencing hot flashes. She has not had a hysterectomy. The primary care NP should recommend:
a. black cohosh.
b. estrogen-only therapy.
c. progesterone-only therapy.
d. limiting alcohol and caffeine intake.
D
Hot flashes can be triggered by environmental conditions such as stress, excitement, anxiety, and alcohol and caffeine consumption. Black cohosh carries the same risks as estrogen. Estrogen-only therapy is not recommended for women with an intact uterus. Progesterone therapy is not recommended.
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Because a client is receiving antispasmodics for bladder spasms, the nurse should be sure that the client
a. increases fluid intake. b. is assessed frequently for bleeding. c. receives stool softeners. d. remains on bed rest.
According to Kubler-Ross, the first stage of the grieving process is:
a. denial c. bargaining b. anger d. depression
Cardiovascular system changes occur during pregnancy. Which finding would be consi-dered normal for a woman in her second trimester?
a. Less audible heart sounds (S1, S2) b. Increased pulse rate c. Increased blood pressure d. Decreased red blood cell (RBC) production
A patient with diabetes who refuses to change eating patterns may be in which stage of adjustment?
a. Denial and disbelief b. Irritability and anger c. Attempting to gain control d. Acceptance and participation