A menopausal client is prescribed estradiol-progesterone orally. The client asks the nurse why she has to take both of them because she only wants to take the estrogen. What should the nurse tell this client?

"This medication is being prescribed to help with your symptoms because it has a lower incidence of uterine cancer.

"If you notice breast tenderness, bloating, nausea, or changes in your weight, notify your health care provider immediately."

"You need to take this medication 1 to 2 hours after eating to best promote adequate absorption."

"This is one of the most recommended medications to help prevent bone loss as you continue to age."

Answer and Explanation

The Correct Answer is A

A. "This medication is being prescribed to help with your symptoms because it has a lower incidence of uterine cancer.": Combining progesterone with estrogen in women who still have a uterus helps protect the endometrial lining. Estrogen alone can cause endometrial hyperplasia, increasing the risk of uterine cancer, while progesterone counteracts this effect.

B. "If you notice breast tenderness, bloating, nausea, or changes in your weight, notify your health care provider immediately.": Although these are possible side effects of hormone replacement therapy, they are not the reason both hormones are prescribed together.

C. "You need to take this medication 1 to 2 hours after eating to best promote adequate absorption.": Estradiol-progesterone absorption is not significantly affected by food intake, so timing the medication with meals is not a primary concern.

D. "This is one of the most recommended medications to help prevent bone loss as you continue to age.": While hormone therapy can help reduce osteoporosis risk, the main purpose of adding progesterone is to prevent endometrial cancer, not to enhance bone protection.

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Correct Answer is B

Explanation

A. Increased urinary output: Polyuria is not a characteristic sign of lead poisoning. Lead primarily affects the hematologic, neurologic, and gastrointestinal systems rather than directly influencing renal water regulation, unless nephropathy develops in chronic exposure.

B. Anorexia: Loss of appetite is a common manifestation of acute lead poisoning due to the toxic effects of lead on the gastrointestinal tract and central nervous system. The child may also experience abdominal pain, irritability, and constipation in addition to decreased appetite.

C. Jaundice: Jaundice is not typically associated with lead poisoning. Although lead interferes with heme synthesis, it does not usually cause bilirubin accumulation or liver dysfunction that would result in jaundice.

D. Diarrhea: Gastrointestinal upset can occur, but diarrhea is not as common as constipation in lead toxicity. Lead decreases peristalsis and causes smooth muscle spasm in the intestines, leading more often to constipation than to diarrhea.

A. it is characterized by the presence and growth of endometrial tissue inside the uterus. B. It is unlikely to affect sexual intercourse or fertility C. It may worsen with repeated cycles or remain asymptomatic and disappear after menopause. D. It affects 25% of women.

Correct Answer is C

Explanation

A. It is characterized by the presence and growth of endometrial tissue inside the uterus: Endometriosis involves the growth of endometrial-like tissue outside the uterus, not inside. These ectopic tissues respond to hormonal changes, causing pain and inflammation.

B. It is unlikely to affect sexual intercourse or fertility: Endometriosis often causes dyspareunia (painful intercourse) and is a leading cause of infertility. The inflammation and scarring associated with ectopic endometrial tissue can impair ovulation, fertilization, or implantation.

C. It may worsen with repeated cycles or remain asymptomatic and disappear after menopause: Endometriosis symptoms typically worsen during reproductive years due to cyclic hormonal stimulation. After menopause, decreased estrogen levels usually lead to regression or disappearance of the disease.

D. It affects 25% of women: The prevalence is lower; endometriosis affects approximately 10% of women of reproductive age, though exact figures may vary due to underdiagnosis.

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A menopausal client is prescribed estradiol-progesterone orally. The client asks the nurse why she has to take both of them because she only wants to take the estrogen. What should the nurse tell this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

Correct Answer is B

Explanation

With regard to endometriosis, nurses should be aware that

Correct Answer is C

Explanation

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Select the six rights of medication administration.

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