Chapter 18

12. The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health? 1. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. 2. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts. 3. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk. 4. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.

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6. The nurse is assessing a 59-year-old female patient for her annual examination. The patient had a full hysterectomy, bilateral salpingo-oophorectomy 1 year ago for a noncancerous condition. The patient states that she wants to stop her menopausal hormone therapy at this time, and she will try black cohosh if the symptoms persist. Which response by the nurse is most appropriate? 1. "Hormone therapy is the most effective treatment for menopausal symptoms." 2. "Hormone therapy becomes less effective within 2 years of treatment." 3. "Hormone therapy is most effective with alternative medicines use." 4. "Hormone therapy is most effective when combined with lifestyle changes."

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7. A patient arrives to the family practice clinic for her annual examination. The nurse's assessment data includes thin, 35-year-old female, history of weight loss surgery and total hysterectomy, BMI is 19, patient has been taking corticosteroids for severe asthma. Which of the following is an expected diagnostic screening for a potential health problem? 1. Dual-energy x-ray absorptiometry scan 2. Serum electrolyte levels and vitamin D 3. Serum cholesterol and diabetic screening. 4. Papanicolaou (Pap) Smear

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8. Which nursing interventions would best correlate with the nursing diagnosis of At risk for disturbed sleep patterns related to night sweats? 1. Take a cool shower before bedtime. 2. Avoid medications such as fluoxetine. 3. Eat a consistent carbohydrate prior to bedtime. 4. Avoid liquid intake 2 hours prior to bedtime.

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10. The nurse is assembling data for an education session at the local women's shelter. The majority of the guests at the shelter are 25- to 35-year-old American Indian women with young children. What is the leading cause of death for this population? 1. Situational depression 2. Risk-taking behaviors 3. Poor prenatal care 4. Poor dietary choices

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15. The nurse is providing education on the prevention of heart disease for adult females ages 35 to 44 years old. Which of the following would be most appropriate for this disease process? Select all that apply. 1. Taking a brisk walking for 50 minutes three times a week 2. Consuming a diet rich in vegetables, fruits, and whole grains 3. Obtaining a varicella vaccine, if no evidence of immunity 4. Recognizing the importance of smoking cessation 5. Taking calcium supplements, if lactose intolerant

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18. A college-aged female patient states that she understands the risk of sexual assault with overdrinking. She asks the nurse what health risks are associated with excessive alcohol intake for her age. What diseases or conditions should the nurse include in her response? Select all that apply. 1. Infertility 2. Cancer of mouth 3. Hypertension 4. Brain shrinkage 5. Osteoporosis

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17. The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply. 1. Moderately intense exercises 2. Balanced diet, rich in calcium 3. Alternative medicine such as black cohosh 4. Over-the-counter sleep aid 5. Hormone therapy

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20. The nurse is providing care for the 34-year-old patient diagnosed with polycystic ovarian syndrome. Which interventions would correlate to the common symptoms of this syndrome? Select all that apply. 1. The patient has been unsuccessful with the ability to conceive. 2. The patient has a history of painful and irregular menstrual cycles. 3. The patient has noticed a drastic weight loss and dry skin. 4. The patient has chronic back pain and gastrointestinal issues. 5. The patient has heart palpitations and hypertension.

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16. The nurse is providing care to the 35-year-old female patient at the family practice clinic who is in the office for her annual physical examination. Which tests should the nurse recommend are the most appropriate for this patient? Select all that apply. 1. Papanicolaou test every 5 years 2. Mammogram every 2 years 3. DEXA screen every 2 years 4. HPV every 5 years 5. HIV testing every 5 years.

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1. The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient? 1. Chest pain that radiates to the right arm and jaw 2. Episodic nausea/indigestion and palpitations 3. Sudden onset of trouble walking, and loss of balance 4. Swelling of the feet and shortness of breath

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14. The nurse is providing care to a 72-year-old female patient. While providing care, the nurse instructs the patient to slowly rise from a sitting or prone position. What is the pathophysiological reason for this instruction? 1. The patient is at higher risk for fractures due to postmenopausal osteoporosis. 2. The patient is at higher risk for hypotension due to decreased baroreceptor sensitivity. 3. The patient is at higher risk for falls due to decreased muscle strength and balance. 4. The patient is at higher risk for adverse drug reactions due to decreased hepatic function.

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3. A 48-year-old female patient presents to the OB/GYN clinic for her annual examination. She states that she has had the following symptoms: mood swings, irregular menstrual cycles, forgetfulness, food cravings, and a decrease in libido. Which of the following does the nurse suspect the patient is experiencing? 1. Menopause 2. Perimenopause 3. Postmenopause 4. Pregnancy

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4. A 55-year-old postmenopausal female patient presents to the family practice clinic for her annual examination. The nurse notes that the patient has lost inch in height. Upon further investigation, the nurse discovers that the patient has a slow-healing fracture of the left radius. What screening will most likely be initiated at this time for the patient? 1. Assessment for domestic violence 2. Dual-energy x-ray absorptiometry scan 3. Follicle-stimulating hormone 4. Serum levels of calcium and vitamin D

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19. The nurse is providing education to the patient that is receiving a bisphosphate medication for osteoporosis. Which instructions should the nurse include in the teaching plan to reduce side effects and enhance absorption while taking bisphosphates? Select all that apply. 1. Take the medication with a small meal at the same time. 2. Take the medication with at least 8 oz. of water. 3. Remain upright for at least 30 minutes after taking a dose. 4. Take the medication on an empty stomach. 5. Take the medication with a calcium supplement.

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11. What is the common risk factor for hypertension, abnormal menstrual cycles, osteoarthritis, and high-risk pregnancies? 1. Polycystic ovarian syndrome 2. Diabetes mellitus 3. Body mass index over 32 4. Sedentary lifestyle

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13. The nurse is providing care to a 75-year-old female patient diagnosed with osteoporosis. Which of the following would be the priority nursing diagnosis? 1. At risk for falls related to impaired balance 2. Knowledge deficit related to new medication regimen 3. Impaired physical mobility related to pain and skeletal changes 4. Ineffective health maintenance related to continued immobility

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2. The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers? 1. Consuming two glasses of wine a week 2. Smoking two packs of cigarettes a day 3. Having a body mass index of over 32 4. Having poor intake of calcium and vegetables

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5. During the nurse's assessment of a 44-year-old female patient in the family medicine clinic, the patient becomes tearful and states she may be pregnant, as she has some unintentional weight gain, mood swings, and irregular menstrual cycles. The urine hCG reveals that the patient is not pregnant. What is the possible reason for her symptoms at this time? 1. The patient has a false pregnancy. 2. The patient is menopausal. 3. The patient is perimenopausal. 4. The patient may be pregnant.

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9. The nurse is developing a plan of care for the 65-year-old obese female patient who states she wishes she could lose the weight but has no stamina for activity. Which nursing intervention would best correlate with the patient's statements? 1. Provide information on local gyms and exercise groups. 2. Provide information on choosemyplate.gov. 3. Provide information on the overall health risks of obesity. 4. Provide guidelines on how to increase daily activity as tolerated.

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