A 52-year-old client is seeking treatment for menopause. She is not very active and has a history of cardiac problems. Which therapy option should the nurse recognize as contraindicated for this client?

selective estrogen receptor modulators

lipid-lowering agents

long-term hormone replacement therapy

bisphosphonates

Answer and Explanation

The Correct Answer is C

A. Selective estrogen receptor modulators: These agents, such as raloxifene, mimic estrogen’s beneficial effects on bone density while avoiding many of the cardiovascular and breast risks associated with hormone therapy. They are generally safer for postmenopausal women with cardiac concerns.

B. Lipid-lowering agents: These medications, including statins, help reduce cholesterol levels and lower cardiovascular risk. They are appropriate for a client with a history of cardiac problems and can support overall heart health.

C. Long-term hormone replacement therapy: Hormone replacement therapy (HRT) is contraindicated in women with a history of cardiac disease because it increases the risk of myocardial infarction, stroke, and thromboembolic events. The cardiovascular risks outweigh the benefits, particularly in inactive women or those with preexisting heart conditions.

D. Bisphosphonates: Bisphosphonates are used to prevent and treat osteoporosis by inhibiting bone resorption. They are safe and effective for postmenopausal women, including those with cardiac disease, and pose no cardiovascular risk.

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Correct Answer is D

Explanation

A. "The severity of future attacks will be much less after using this drug.": Acyclovir can shorten the duration and intensity of current outbreaks but does not guarantee milder future attacks once discontinued. Recurrences depend on viral activity and immune response rather than past treatment alone.

B. "If I use this drug, I will be cured of the infection.": Genital herpes is a lifelong viral infection caused by the herpes simplex virus (HSV). Acyclovir does not cure the disease; it only suppresses viral replication to manage symptoms and reduce outbreak frequency.

C. "This drug will help reduce my risk for a recurrence after discontinuing it.": The benefits of acyclovir are limited to the duration of therapy. Once the medication is stopped, the virus remains dormant in nerve cells and may reactivate, leading to new outbreaks.

D. "This drug will help to suppress any symptoms of the infection.": Acyclovir is an antiviral that helps suppress viral activity, reduce symptom severity, shorten outbreak duration, and decrease viral shedding during active infection.

A. electrocauterization B. myomectomy C. dilation and curettage (D&C) D. laparoscoрy

Correct Answer is B

Explanation

A. Electrocauterization: This procedure uses electric current to destroy tissue and is not a standard treatment for fibroids. It may cause uterine scarring, which can impair fertility and is therefore not appropriate for clients wishing to conceive.

B. Myomectomy: Myomectomy is the surgical removal of uterine fibroids while preserving the uterus, making it the preferred option for women who still desire children. It relieves symptoms such as pain and heavy bleeding while maintaining reproductive potential.

C. Dilation and curettage (D&C): A D&C involves scraping the uterine lining to control bleeding or obtain tissue samples. It does not remove fibroids located in the uterine wall and provides only temporary symptom relief without addressing the root cause.

D. Laparoscopy: Laparoscopy is a minimally invasive surgical technique that can be used for various procedures, including a myomectomy. However, by itself, laparoscopy is a diagnostic or operative method—not the specific procedure for removing fibroids while preserving fertility.

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A 52-year-old client is seeking treatment for menopause. She is not very active and has a history of cardiac problems. Which therapy option should the nurse recognize as contraindicated for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?

Correct Answer is D

Explanation

The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility?

Correct Answer is B

Explanation

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