Leftover stuff
Which assessment finding correlates to advanced (tertiary) syphilis?
Dementia Explanation: Tertiary syphilis can produce central nervous system lesions that produce dementia, blindness, or injury to the spinal cord, with ataxia and sensory loss. Stomatitis occurs in stage 2.
The nurse is caring for a 67-year-old woman in the reproductive health clinic. Which question should the nurse be sure to include during health screening and counseling with this client?
"When was your last colonoscopy completed?" Explanation: For women older than the age of 65 years, the nurse should ask about diagnostic testing for colorectal cancer during the health screening and counseling visit. The risk for this health problem increases with age and regular screening is required after age 40. Although all women should be assessed for high risk sexual behaviors, screening for sexually transmitted infections is generally a standard part of the health screening visit for women aged 19 to 39 years. The risk of pelvic inflammatory disease, ectopic pregnancy and infertility is of greatest concern in this age group and can occur as a result of untreated sexually transmitted infections. Hot flashes and night sweats are typical symptoms of perimenopause, for which the average age of onset is 47.5 years. A woman older than 65 years of age would not be prescribed contraceptive medication. The risk of pregnancy is very low at this age.
The nurse is reviewing laboratory values of a 70-year-old female client and observes the client's low-density lipoprotein (LDL) level is elevated. The nurse understands a possible reason for this is:
Long-term estrogen deprivation Explanation: Estrogens affect the composition of the plasma lipoproteins. They produce an increase in high-density lipoproteins (HDLs), a slight reduction in low-density lipoproteins (LDLs), and a reduction in cholesterol levels. Women have diminished levels of estrogen after menopause.
The nurse is talking with a young victim of sexual assault in the emergency department. The client states that she wants to take emergency contraception and asks the nurse what is recommended. What is the best response by the nurse? Select all that apply.
The health care provider will prescribe increased doses of oral contraceptives. The health care provider will order a copper IUD within 5 to 7 days of the unprotected sex. Plan B One-Step may be obtained without a prescription at a drugstore or family planning clinic. Explanation: Increased doses of some oral contraceptives can reduce the risk of pregnancy by 89% when taken up to 120 hours after unprotected intercourse (ideally within 72 hours). Copper IUDs can help in emergency contraception. Plan B One-Step is an over-the-counter emergency contraceptive. A vaginal sponge and a vaginal ring are contraceptive devices used to prevent pregnancy prior to intercourse; they are not effective if used after intercourse has occurred. Dilation and curettage (D & C) is a surgical procedure that scrapes the uterine lining. It is not used for emergency contraception.
The nurse giving a presentation on women's cancer risks concludes that teaching has been successful when the participants indicate that which disease rate has been lowered due to a decrease in long-term use of hormone therapy after menopause?
breast cancer Explanation: Although a positive family history of breast cancer, aging, and irregularities in the menstrual cycle at an early age are major risk factors for breast cancer, the reduction of long-term use of hormone therapy after menopause has been shown to have decreased the numbers of women affected by breast cancer.
