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 C

Explanation

A. Research the culture and base care on findings: While researching cultural norms can provide useful background information, it may lead to stereotyping if applied rigidly. Individual beliefs and practices often vary within a culture, so care must be based on the family’s specific preferences and values.

B. Ask other Asians to explain their culture: Consulting individuals from the same ethnic background may result in inaccurate generalizations, as cultural practices differ among families and regions. Each family’s experience and perspective should be directly explored.

C. Just ask the family about their culture and listen: This approach promotes cultural competence through individualized care. Asking open-ended questions and actively listening allows the nurse to understand the family’s unique beliefs, values, and expectations, ensuring care that is respectful and patient-centered.

D. Hire an interpreter to explain the family culture: An interpreter is helpful for language translation, not for explaining cultural beliefs. While interpreters facilitate communication, cultural understanding must come from direct dialogue with the family to ensure accuracy.

A. Relaxation B. Distraction C. Imagery D. Thought stopping

Correct Answer is B

Explanation

A. Relaxation: Relaxation involves techniques such as deep breathing, progressive muscle relaxation, or guided imagery to reduce muscle tension and anxiety. It focuses on calming the body rather than diverting attention through external engagement like humor.

B. Distraction: Telling a joke is a form of distraction, which redirects the child’s attention away from pain or anxiety to something enjoyable or amusing. Distraction reduces the perception of pain by engaging cognitive and emotional focus on another stimulus.

C. Imagery: Imagery involves encouraging the child to visualize a pleasant scene or activity to promote relaxation and reduce pain perception. Unlike distraction, it relies on mental visualization rather than external stimuli such as conversation or humor.

D. Thought stopping: Thought stopping helps clients consciously interrupt negative or distressing thoughts by substituting them with positive affirmations or neutral cues. It does not involve humor or external engagement during procedures.

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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

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Correct Answer is C

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Correct Answer is B

Explanation

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