A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. Which of the following information should the nurse include in the teaching?

Estrogen therapy decreases the risk for breast cancer.

Estrogen therapy increases the risk for thrombus formation

Estrogen therapy can cause weight loss.

Estrogen therapy increases the risk for seizures.

Answer and Explanation

The Correct Answer is B

A. Estrogen therapy decreases the risk for breast cancer: Estrogen therapy does not decrease the risk of breast cancer; in fact, prolonged use can increase the risk, especially when combined with progestin. Clients should be informed about this risk and monitored regularly with mammography.

B. Estrogen therapy increases the risk for thrombus formation: Estrogen can increase clotting factor activity, raising the risk of deep vein thrombosis, pulmonary embolism, and stroke. This is a significant adverse effect, particularly in clients with a history of thromboembolic events or other risk factors.

C. Estrogen therapy can cause weight loss: Estrogen therapy does not reliably cause weight loss. Weight changes are more commonly neutral or associated with fluid retention, rather than significant loss.

D. Estrogen therapy increases the risk for seizures: There is no direct correlation between estrogen therapy and an increased risk of seizures in the general postmenopausal population. Seizure risk is not a standard concern for clients on estrogen therapy.

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Correct Answer is D

Explanation

A. Herpes simplex virus 2: HSV-2 is a common sexually transmitted infection, but it is not universally reportable to the CDC in all states. While some jurisdictions may require reporting, it is not consistently a nationally notifiable infection.

B. Candida albicans: Candida infections are common opportunistic infections and are not considered reportable to the CDC because they occur frequently and do not typically pose a public health threat. Routine cases are managed at the clinical level.

C. Staphylococcus aureus: Although S. aureus infections, including MRSA, are clinically significant, they are generally not reportable to the CDC unless part of a specific outbreak or public health investigation. Routine cases are not mandatory to report.

D. Lyme disease: Lyme disease is a nationally notifiable infection that must be reported to the CDC. Reporting is essential for surveillance, tracking trends, and implementing public health interventions to reduce disease transmission and prevent outbreaks.

A. The preschooler wears a medical identification bracelet B. The preschooler takes tub baths independently C. The preschooler sleeps in a bed with side rails. D. The preschooler's mattress is waterproof

Correct Answer is B

Explanation

A. The preschooler wears a medical identification bracelet: Wearing a medical ID bracelet is a safety measure that allows caregivers and healthcare professionals to respond appropriately during a seizure. No modification is needed for this practice.

B. The preschooler takes tub baths independently: Independent tub bathing poses a significant risk of injury or drowning if a seizure occurs during bathing. The nurse should recommend modifications, such as supervised showers or sponge baths, to ensure the child’s safety.

C. The preschooler sleeps in a bed with side rails: Using side rails can prevent falls from bed during a seizure. This is an appropriate safety measure and does not require modification.

D. The preschooler's mattress is waterproof: A waterproof mattress protects against injury from incontinence or vomiting during a seizure and is a suitable precaution that does not require modification

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A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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