menopause

A postmenopausal woman is administered estradiol for the purpose of preventing which condition? endometriosis amenorrhea osteoporosis uterine cancer

osteoporosis

A client has returned to the health care provider's office for follow up after receiving estrogen for symptoms of menopause. Which question should be included in the follow up? "Can you describe in detail the difference in how you are feeling today and the last visit?" "Tell me about your sexual interactions with your partner." "Do you feel that the medication is working?" "Do you think you are better than before?"

"Can you describe in detail the difference in how you are feeling today and the last visit?"

A woman experiencing menopausal symptoms asks the nurse about herbal remedies for managing her symptoms. Which response by the nurse would be most appropriate? "Herbal remedies have been proven quite reliable in alleviating the symptoms of menopause." "You should avoid herbal remedies and ask your primary care provider for hormone replacement therapy." "Most of the information about herbal therapies is based on reports by those who have used them, not scientific studies." "Your symptoms are not severe enough to warrant any treatment or therapy."

"Most of the information about herbal therapies is based on reports by those who have used them, not scientific studies."

A female client informs the nurse that she is having hot flashes on occasion, has trouble sleeping, and thinks that she is having some symptoms of menopause. The client asks the nurse how long these symptoms will last prior to experiencing menopause. What is the best response? "Those could be symptoms of anything and are not specific to menopause." "I have had those symptoms myself, it's nothing to worry about." "Tell the physician, it could be serious." "Perimenopause can precede menopause by approximately 4 years."

"Perimenopause can precede menopause by approximately 4 years."

The nurse is on the phone with a woman who is taking an antispasmodic for overactive bladder syndrome. The woman states that her mouth is very dry, but she is afraid to drink because she does not want the urge to urinate to increase. What is the nurse's best response to this client? "You will just have to put up with the dry mouth if you want to take this medication." "You shouldn't restrict your fluid intake because it will only make your bladder problems worse." "When your mouth is dry, rinse it with strong mouthwash." "To ensure that you don't have to go to the bathroom all the time, you should chew gum."

"You shouldn't restrict your fluid intake because it will only make your bladder problems worse."

The nurse educator is teaching a group of nursing students in a reproductive health class. The students are correct in identifying that a woman is most likely to be unable to become pregnant at what age? 49 years old 35 years old 40 years old 18 years old

49 years old

The nurse is reviewing a client's electronic medical record and notices that the client has recently experienced dyspareunia. The nurse knows that this is an effect of aging on the female reproductive system. What is the best description of dyspareunia that the nurse can share with the nursing student who is going to see this client with the nurse? A woman experiences female climacteric. Bones become brittle and porous and fracture more easily. A woman experiences painful intercourse. The uterus prolapses and falls into the vagina.

A woman experiences painful intercourse.

A client who is taking an estrogen reports swelling and weight gain. The nurse notes some peripheral edema. Which nursing diagnosis would the nurse identify as the priority? Fluid volume excess Imbalanced nutrition, less than body requirements Acute pain Ineffective peripheral tissue perfusion

Fluid volume excess

The primary care provider has prescribed estrogen replacement therapy (ERT) for a menopausal woman who has been diagnosed with pelvic organ prolapse (POP). The client asks the nurse why she needs to be on hormones. Which would be the nurse's best response? Hormone replacement will decrease blood perfusion and the elasticity of the vaginal wall. Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall. Hormone replacement will increase the blood perfusion and decrease the elasticity of the vaginal wall. Hormone replacement will decrease blood perfusion and increase the elasticity of the vaginal wall.

Hormone replacement will increase blood perfusion and the elasticity of the vaginal wall.

A group of students are reviewing information about the menstrual cycle. The students demonstrate understanding when they identify what as the onset of the menstrual cycle?

Menarche

The nurse assessing for signs and symptoms of perimenopause in a woman should assess for: Menstrual irregularity Cessation of menstruation Decreased FSH level Elevated estrogen levels

Menstrual irregularity

A nurse is assessing a 45-year-old client. The client asks for information regarding the changes that are most likely to occur with menopause. Which should the nurse tell the client? The uterus tilts backward. The uterus shrinks and gradually atrophies. Cervical muscle content increases. The outer layer of the cervix becomes rough.

The uterus shrinks and gradually atrophies.

The nurse has assessed several clients who have arrived for routine appointments. The nurse predicts the health care provider will prioritize a bone density scan for which client? a 40-year-old Black client, 5 ft 4 in (1.62 m) tall, 172 lbs (78 kg), inactive lifestyle a 25-year-old Asian client, 5 ft 7 in (1.7 m) tall, 129 lbs (58.5 kg), with two children a 55-year-old White client who smokes and has family history of osteoporosis a 45-year-old Hispanic client with a vitamin D deficiency

a 55-year-old White client who smokes and has family history of osteoporosis

When considering the hormonal changes that occur, the nurse should encourage which diagnostic screening for a postmenopausal woman? Bone calcium level Red blood cell count Serum potassium level Fasting blood sugar

bone calcium level

Regular monthly menstrual cycles cease at the time of: menses. menopause. menstruation. menorrhea. menarche.

menopause.

A 52-year-old female patient is going through menopause and asks the nurse about estrogen replacement for its cardioprotective benefits. What is the best response by the nurse? "That's a great idea. You don't want to have a heart attack." "Current research determines that the replacement of estrogen will protect a woman after she goes into menopause." "Current evidence indicates that estrogen is ineffective as a cardioprotectant; estrogen is actually potentially harmful and is no longer a recommended therapy." "You need to research it and determine what you want to do."

"Current evidence indicates that estrogen is ineffective as a cardioprotectant; estrogen is actually potentially harmful and is no longer a recommended therapy."

A 50-year-old woman experiencing hot flashes and other menopausal symptoms asks the nurse about the benefits of the traditional Chinese use of dong quai. What is the nurse's best response? "More research is needed on herbal remedies. Neither safety nor efficacy is guaranteed." "Each woman needs to make a choice about using herbals based on her personal beliefs." "You should not take herbal remedies but only the medications prescribed by your physician." "There is no evidence that any herbal products can benefit women with these symptoms."

"More research is needed on herbal remedies. Neither safety nor efficacy is guaranteed."

A 47-year-old woman is being seen at the local clinic reporting irregular menstrual cycles. The nurse would explain to the client that the irregularity is most likely due to: pregnancy. menopause. hormonal fluctuations. an underlying endocrine problem.

menopause