QUESTION 1
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six
months. The nurse should assess the
... [Show More] woman for other symptoms of:
A. climacteric.
B. menopause.
C. perimenopause.
D. postmenopause.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function
diminishes, and menses become irregular. Perimenopause lasts approximately five years. Climacteric is a
term
applied to the period of life in which physiologic changes occur and result in cessation of a woman's
reproductive
ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause
are
interchangeable terms when used for females. Menopause is the period when permanent cessation of
menses has
occurred. Postmenopause refers to the period after the changes accompanying menopause are
complete.Health
Promotion and Maintenance
QUESTION 2
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a
contraindication for hormone replacement therapy?
A. family history of stroke
B. ovaries removed before age 45
C. frequent hot flashes and/or night sweats
D. unexplained vaginal bleeding
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family history of
stroke is not a contraindication for hormone replacement therapy. If the woman herself had a history of
stroke or
other blood-clotting events, hormone therapy could be contraindicated. Frequent hot flashes and/or night
sweats
can be relieved by hormone replacement therapy.Health Promotion and Maintenance
QUESTION 3
Teaching about the need to avoid foods high in potassium is most important for which client?
A. a client receiving diuretic therapy
B. a client with an ileostomy
C. a client with metabolic alkalosis
D. a client with renal disease
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
Explanation:
Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium.
Choices 1, 2, and 3 are incorrect because clients receiving diuretics with ileostomy or with metabolic
alkalosis
are at risk for hypokalemia and should be encouraged to eat foods high in potassium.Physiological
Adaptation
QUESTION 4
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/
L?
A. metabolic alkalosis
B. homeostasis
C. respiratory acidosis
D. respiratory alkalosis
Correct Answer: B
Section: (none)
Explanation
Explanation/ [Show Less]