A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?

a. Her periods have stopped for 1 year.
b. Her periods have been irregular and light for 12 months.
c. She has symptoms of vasomotor instability.
d. She experiences symptoms of decreased estrogen, such as dyspareunia.


ANS: A
When a woman's menstrual periods have stopped for 1 year, she is considered menopausal.

Nursing

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The clinic nurse provides teaching for a patient prescribed pyrimethamine (Daraprim) to prevent malaria and instructs on the need to notify the prescriber immediately if what signs and symptoms occur?

A) Diarrhea, fatigue, weight loss, and anemia B) Irritation, rash, or inflammation C) Headache, nausea, or constipation D) Anorexia, nausea, or vomiting

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An 80-year-old resident of an assisted living facility is proud of the fact that he was an elite athlete during his younger years

Despite his concerted efforts to remain physically active and maintain his stamina, he is lamenting his loss of exercise tolerance in recent years. How can his nurse best respond to these concerns? A) "It's inevitable that your heart increases in size as you age, and this is associated with a loss of cardiac efficiency.". B) "It's normal for your heart to contract less strongly as you age, and this makes you somewhat less able to exercise vigorously.". C) "As you age, it's common for your heart rate becomes less regular and this often results in fatigue.". D) "The normal increase in blood pressure that accompanies aging leaves you with less cardiac reserve capacity than when you were young.".

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In what type of healthcare setting are the most RNs currently employed?

A) Ambulatory care centers B) Doctor's offices C) Acute care hospitals D) Long-term care facilities

Nursing

A 72-year-old woman states that she has trouble sleeping and that her appetite has declined

She also tells the nurse she hasn't been getting out much lately. Findings from her physical examination and laboratory studies are normal. Based on these data, the nurse should first do which of the following? A) Collaborate with the physician to have a sleeping medication ordered and suggest that she get more exercise to stimulate her appetite. B) Teach her that her symptoms are associated with the normal aging process but that exercise will help. C) Schedule a follow-up appointment in 3 months to monitor her health. D) Screen her for depression.

Nursing