Mrs. Smith, a 65-year-old woman presents to clinic for the first time and complains of urinary incontinence and dyspareunia. She went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for a fibroid
Her mother had a hip fracture at 82 years of age. The patient's most recent mammogram was 5 years ago and no known family history of breast cancer. She is not taking any medications. Her physical examination is unremarkable except for findings consistent with atrophic vaginitis. You decide to begin topical hormone replacement therapy. Which of the following evaluations would be necessary prior to initiating hormone replacement therapy?
A. Mammogram
B. Endometrial biopsy
C. Bone mineral density measurement
D. Papanicolaou smear
A
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An elderly client tells the nurse that he does not have the same appetite as he did when younger and often has problems "moving his bowels."
The nurse realizes that as a normal change associated with aging of the gastrointestinal tract, the older client is more prone to experience: a. increased sensitivity to taste. c. increased peristalsis. b. increased saliva production. d. likelihood for constipation.
The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home. Who should the nurse invite to the conference?
a. Family and nursing staff b. Social worker, nursing staff, and primary care physician c. Family and key health professionals involved in the child's care d. Primary care physician and key health professionals involved in the child's care
The nurse is instructing a client who is at 10 weeks' gestation on smoking cessation and avoiding substance abuse because these substances will:
1. Interfere with hormone excretion of the fetus. 2. Stop the synthesis of protein in the developing fetus. 3. Pass into the developing fetus through the placenta very easily. 4. Facilitate the transfer of viruses and other diseases into the developing fetus.
Which branch of the government interprets the states' rights to grant abortions?
a. Executive branch b. Legislative branch c. Judicial branch d. Federal branch