A 50-year-old woman reports severe, frequent hot flashes and vaginal dryness. She is having irregular periods. She has no family history of CHD or breast cancer and has no personal risk factors. The primary care NP should recommend:
a. estrogen-only HT.
b. low-dose oral contraceptive therapy.
c. selective serotonin reuptake inhibitor therapy until menopause begins.
d. estrogen-progesterone HT.
B
Oral contraceptive pills are not approved by the U.S. Food and Drug Administration for management of perimenopausal symptoms except to treat irregular menstrual bleeding. This patient has a low risk for CHD and breast cancer, so oral contraceptive pills are relatively safe. She is also at risk for pregnancy, so oral contraceptive pills can help to prevent that.
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A 10 year old is at the clinic for "a sore throat that has lasted 6 days." Which of these findings would be consistent with an acute infection?
a. Tonsils 1+/1-4+ and pink; the same color as the oral mucosa b. Tonsils 2+/1-4+ with small plugs of white debris c. Tonsils 3+/1-4+ with large white spots d. Tonsils 3+/1-4+ with pale coloring
The nurse is entering the room to assess a newly admitted client. Which best describes the purpose for a general survey that is conducted prior to beginning the physical assessment?
1. Allows for vital signs prior to starting exam. 2. Provides an opportunity for the client to relax before the exam. 3. Yields information to guide the physical assessment. 4. Provides the information necessary for the diagnosis.
Frustrated with his inability to lose weight despite attempting numerous fad diets, a 42-year-old male who is 5?11? and 270 lb has visited a clinic to gain tools to achieve long-term weight loss
Which of the following statements by the clinician is most accurate? A) "Recent findings have determined that obesity is largely genetic and not preventable, but that doesn't mean we can't work together to help you lose weight and keep it off." B) "A combined approach of behavior therapy, changing your lifestyle habits, and increased physical activity gives the highest chance of long-term success." C) "By significantly changing the way you live your life, you could set and meet a goal of losing about 5% of your body weight each month." D) "Combined with regular exercise, a diet of taking in 500 to 1000 kcal/day will be the best approach."
The nurse is preparing to give a dose of dasatinib (Sprycel) to a patient. The nurse notes that the patient has just completed a meal. The tablet is in the packaging but is broken in two pieces. What is the correct action by the nurse?
a. Administer the medication with an antacid. b. Return the tablet to the pharmacy. c. Wait for 2 hours before giving the medication. d. Wear gloves when handling the tablet.