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. A client who has a burn requiring a sterile dressing change: While burn care is important to prevent infection and promote healing, a dressing change is not immediately life-threatening. This task can be safely addressed after assessing clients with higher-priority acute risks.

B. A client who had an appendectomy 6 hr ago and has diminished bowel sounds: Diminished bowel sounds are common in the immediate postoperative period and do not usually indicate an emergent problem. This client requires ongoing monitoring, but there is no acute threat to life at this time.

C. A client who received a chemotherapy treatment and reports nausea: Nausea following chemotherapy is uncomfortable and should be managed promptly, but it is not immediately life-threatening. Interventions such as antiemetics can be provided after more urgent needs are addressed.

D. A client who has hypothyroidism and is stuporous: Stupor in a client with hypothyroidism may indicate myxedema or severe hypothyroid crisis, which can be life-threatening due to risk of respiratory depression, cardiovascular compromise, or altered mental status. This client requires immediate assessment and intervention, making them the highest priority.

A. Hepatotoxicity B. Ototoxicity C. Hypercalcemia D. Hypertension

Correct Answer is B

Explanation

A. Hepatotoxicity: Vancomycin is not commonly associated with liver toxicity. While liver function may be monitored in clients receiving multiple medications, hepatotoxicity is not a primary concern with vancomycin therapy.

B. Ototoxicity: Vancomycin can cause ototoxicity, particularly with high doses or prolonged therapy. This adverse effect may present as tinnitus or hearing loss, making it important for the nurse to monitor the client’s auditory function during treatment.

C. Hypercalcemia: Vancomycin does not affect calcium metabolism, so hypercalcemia is not an expected adverse reaction. Monitoring calcium levels is not routinely necessary for vancomycin administration.

D. Hypertension: Hypertension is not a known adverse effect of vancomycin. Blood pressure monitoring is standard for overall care, but vancomycin itself does not typically cause elevations in blood pressure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care of a group of clients at the beginning of their shift. Which of the following clients should the nurse care for first?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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