Menopause
A woman experiencing perimenopausal symptoms asks the nurse what she can do to help control the symptoms. What interventions should the nurse recommend? (Select all that apply.) a Increase caffeine intake b Avoid sexual intercourse c Start a regular exercise routine d Dress in layers e Keep the bedroom cool
C, D, E
A client is diagnosed as perimenopausal. Which psychological manifestation is the client most likely experiencing? a Increased vaginal pH b Decreased skin elasticity c Irritability d Fatigue
D
A client who is post menopausal with an intact uterus asks the nurse why her hormone medicine has two drugs, estrogen and progesterone. Which statement by the nurse provides the client with accurate information? A) The progesterone will help prevent cervical cancer B) The progesterone will help prevent breast cancer C) The progesterone will help prevent liver disease D) The progesterone will help prevent endometrial cancer
D
A nurse caring for a client who has begun menopause selects the nursing diagnosis of deficient knowledge when the client makes which statement? a "I must be coming down with the flu because I am having hot flashes." b "I need to begin weight-bearing exercises such as walking." c "I should increase my daily calcium intake to 1200 mg." d "I need to obtain yearly mammograms."
A
A woman experiencing menopause has been placed on hormone replacement therapy (HRT) by her health care provider. What information regarding HRT should the nurse provide the client? a "Hormone replacement therapy will assist in alleviating severe manifestations when used on a short-term basis." b "You can stay on HRT as long as you need it." c "You will find that HRT will improve bone density and serum lipids. " d "Hormone replacement therapy is safe for long-term use.
A
A 49-year-old woman who is being seen in the clinic for her annual physical examination. After her examination, she talks about her menopausal symptoms. Which information should the nurse include regarding home care planning to assist in management of menopausal symptoms? a Maintain adequate hydration b Wear tight-fitting dark clothing c Limit sexual activity d Keep bedroom warm at night
A
Mrs. Wilson is a 50-year-old woman who is being seen in the clinic for an annual physical examination. She indicates that she is tired all the time, snaps at her husband, and cannot sleep at night due to night sweats. She states that she does not smoke or drink. She is in good health after being successfully treated for breast cancer 7 years ago. She asks what can be done. What nonpharmacologic treatment would you include in your teaching regarding alleviation of menopausal symptoms? a Biofeedback b Hormone replacement therapy c Vitamin D d Bioidentical hormones
A
The nurse is teaching older women about health risks for the postmenopausal period and would include which as health risks? (Select all that apply.) a Joint degeneration b Macular degeneration c Breast cancer d Cognitive changes e Gout
B, C, D
The nurse is providing education to a client who has been diagnosed with menopause. Which health promotion intervention should the nurse discuss with the client? (Select all that apply.) a Wearing tight clothing b Eating a balanced diet that includes fruits, vegetables, and high-fiber foods c Doing Kegel exercises d Avoiding alcohol and cigarette use e Participating in yoga classes
B, C, D, E
Which treatment is considered an alternative or complementary therapy in managing a menopausal client? (Select all that apply.) a Hormone replacement therapy b Herbs c Yoga d Bioidentical hormones e Massage
B, C, D, E
A 53-year-old woman asks the nurse if there are any definitive laboratory tests that would show that she has entered menopause. The nurse responds that which test is done to clarify the diagnosis? a Complete blood count b Blood, urea, nitrogen (BUN) levels c Follicle-stimulating hormone (FSH) level d Estrogen levels
C
During the examination portion of her annual checkup, a 55-year-old client has several new complaints. Which subjective symptoms of menopause would the nurse expect to find during data collection? a Hair growth on the upper lip b Decreased skin elasticity c Night sweats d Rise in vaginal Ph
C
The nurse is teaching a woman about the hormonal changes that occur during menopause. Which hormonal change would the nurse state is responsible for the symptoms of menopause? a Decreased follicle-stimulating hormone b Decreased progesterone c Decreased estrogen d Decreased luteinizing hormone
C
When planning care for a client, which nursing diagnosis addresses a physical concern associated with menopause? a Risk of low self-esteem b Impaired mood c Potential for urinary dysfunction d Negative body image
C
A 34-year-old client presents to the family practice clinic with complaints of not having a menstrual period in the past 14 months. What data should the nurse obtain when performing a physical examination on the client? a Drug and alcohol use b Sexual history c Menstrual history d Weight and height
D
Which psychological manifestation is not associated with pre-menopause? a Mood swings b Forgetfulness c Loss of libido d Anxiety
D
The nurse is interviewing Melinda Britt during her annual gynecologic exam. Which statement by Melinda would cause you to believe she is experiencing perimenopause? a "I am so cold lately." b "I feel that my appetite is really increasing." c "I have problems with constipation." d "I often experience sweating at night."
D
What are the clinical manifestations of menopause? (Select all that apply.) a Vaginal dryness b Thinning hair c Headaches d Hot flashes e Cold intolerance
A, B, C, D
The nurse is providing home care instructions to a client experiencing menopause. Which activity will assist in managing mood swings? a Doing Kegel exercises b Keeping the bedroom cool c Avoiding cigarettes d Performing deep breathing exercises
D
The nurse is preparing to examine a client who is experiencing menopause. What information should the nurse obtain when performing a health history? (Select all that apply.) a Posture b Menstrual history c Medications d Sleep pattern e Vital signs
B, C, D
The nurse is discussing menopause with a 40-year-old client. During this discussion, the nurse identified which factor that determines when perimenopause may occur? a Genetics b Age of menarche c Being sexually active d Alcohol use
A
A client has been diagnosed with menopause and is complaining of increased severity of manifestations. Which treatments can be used for the treatment of menopausal symptoms? (Select all that apply.) a Hormone replacement therapy b Herbs c Acupuncture d Bioidentical hormones e Gabapentin (Neurontin)
A, B, C, D
Which nursing diagnosis should the nurse include when planning care for a client experiencing menopause? (Select all that apply.) a Impaired mood b Altered sleep pattern c Potential for urinary dysfunction d Increased risk of low self-esteem e Constipation
A, B, C, D
A female client presents to her healthcare provider's office with manifestations of menopause. What are the VASOMOTOR manifestations of menopause? (Select all that apply.) a Hot flashes b Palpitations c Decreased body hair d Night sweats e Dizziness
A, B, D, E
A 52-year-old woman complains of hot flashes, night sweats, irritability, decreased vaginal lubrication, and no menstrual period in the past 15 months. Over the past several weeks, the hot flashes and night sweats have increased in frequency, and she has noticed that she is more irritable. Laboratory values reveal increased follicle-stimulating hormone and luteinizing hormone levels. Which intervention should the nurse initiate? (Select all that apply.) a Asking open-ended questions about the client's body image b Instructing the client to avoid over-the-counter vaginal lubricants c Explaining such physiological manifestations of menopause as hot flashes and night sweats d Providing information about medications that might be prescribed to help with menopausal symptoms e Encouraging discussion of how menopausal symptoms are affecting sexual functioning
A, C, D, E
A 50-year-old client confides to the nurse that she is experiencing dyspareunia during sexual intercourse. The nurse recommends which therapy for this client? a Tell the partner that sex is no longer desired. b Use a vaginal lubricant. c Consume alcohol to reduce inhibitions. d Reduce sexual contact to once a month.
B
A menopausal woman is taking hormone replacement therapy (HRT). The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is: A. hot flashes B. irregular vaginal bleeding C. urinary urgency D. dyspareunia
B
A spouse and his client who is perimenopausal is questioning the nurse regarding self-care during this process. The nurse plans to focus teaching for this client on which priority of care? a Referring the client to a support group b Reducing the risks associated with menopause c Recommending hormonal therapy d Stressing the importance of foot care
B
Which medication is used off-label to reduce the occurrence of hot flashes associated with menopause? a Raloxifene (Evista) b Venlafaxine (Effexor) c Levothyroxine (Synthroid) d Triphenylethylene (Tamoxifen)
B
The nurse is caring for a client with an endometrial implant. The client asks the nurse what happens to the implant now that she is experiencing menopause. The best reply by the nurse is that the implant: a tends to become malignant. b enlarges in size. c tends to atrophy and disappear. d increases in numbers.
C
The nurse concludes that a client has understood teaching about menopause when the client states the following: a "I have missed two periods now and am grateful I will have no more." b "I will experience symptoms of menopause for 2 weeks." c "I am depressed about having this disease." d "I know I have begun menopause and it will take a while to finish."
D
