A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?
Her periods have been irregular and light for 12 months.
She experiences symptoms of decreased estrogen, such as dyspareunia.
Her periods have stopped for 1 year.
She has symptoms of vasomotor instability.
The Correct Answer is C
A. Her periods have been irregular and light for 12 months: Irregularity and lighter flow are features of perimenopause but do not by themselves meet the definition of menopause.
B. She experiences symptoms of decreased estrogen, such as dyspareunia: Symptoms such as vaginal dryness or dyspareunia suggest decreased estrogen but are not diagnostic of menopause without the 12-month amenorrhea criterion.
C. Her periods have stopped for 1 year: Menopause is defined clinically as 12 consecutive months of amenorrhea (absence of menses) not due to other causes.
D. She has symptoms of vasomotor instability: Hot flashes and night sweats are common during menopause but their presence alone does not establish the diagnosis without the period of amenorrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
Concentration is 20 mg per 5 mL → that equals 4 mg/mL.
Required dose 40 mg ÷ 4 mg/mL = 10 mL.
Round to nearest whole number → 10 mL.
Correct Answer is B
Explanation
A. Reduced effectiveness of the sildenafil: Sildenafil’s effect is not the primary concern when combined with nitrates; the interaction is about additive vasodilation rather than sildenafil becoming ineffective.
B. Significant decrease in blood pressure: Combining sildenafil (a PDE-5 inhibitor) with nitrates causes marked vasodilation that can produce a dangerous drop in blood pressure (severe hypotension), which is why coadministration is contraindicated.
C. Significant increase in pulse rate: Although reflex tachycardia can occur with hypotension, the main clinically significant and consistently reported problem with sildenafil + nitrates is large decreases in blood pressure rather than a primary sustained pulse increase.
D. Increased risk of bleeding: There is no direct mechanism by which sildenafil combined with nitrates causes increased bleeding risk; the major safety issue is hypotension.
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