The nurse is educating a transgender female client about the expected outcomes of estrogen therapy. Which statement made by the client would indicate the need for further teaching?

"Taking estrogen as prescribed will help to decrease the growth of facial hair."

"Taking estrogen as prescribed may increase my risk for migraine headaches."

"Taking estrogen as prescribed will help to decrease my body's muscle mass."

"Taking estrogen as prescribed may cause infertility."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is incorrect because estrogen therapy may not effectively reduce the growth of facial hair in transgender women. Additional treatments, such as laser hair removal or electrolysis, may be needed to address facial hair growth.

Choice B reason: This statement is correct because estrogen therapy can increase the risk of migraine headaches in some individuals. This potential side effect should be discussed with clients considering estrogen therapy.

Choice C reason: This statement is correct because taking estrogen as prescribed can help decrease muscle mass, which is one of the desired effects of feminizing hormone therapy for transgender women.

Choice D reason: This statement is correct because estrogen therapy can cause infertility. Transgender women undergoing estrogen therapy should be informed about this potential outcome and consider fertility preservation options if they wish to have biological children in the future.

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Correct Answer is B

Explanation

Choice A reason: The red category in the START triage system is assigned to clients who require immediate life-saving intervention. Although this client is in pain and has severe symptoms, their respiratory rate, pulse, and capillary refill are normal, indicating that they do not need immediate life-saving intervention.

Choice B reason: The yellow category is designated for clients whose condition is stable but requires observation. This client is awake, alert, and oriented, with a normal respiratory rate, good radial pulse, and normal capillary refill. While they have severe abdominal pain and nausea, their condition does not appear to be life-threatening, making yellow the appropriate triage level.

Choice C reason: The black category is used for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is stable and responsive, so they do not fall into this category.

Choice D reason: The green category is for clients with minor injuries who can walk and do not require urgent medical attention. Since this client has severe symptoms and needs medical attention, the green category is not appropriate.

A. Do not allow visiting of the victims until the bodies are prepared. B. Provide privacy for law enforcement to interview the family. C. Provide a calm location for the family to cope and discuss needs. D. Call the hospital chaplain to stay with the family and pray for the deceased.

Correct Answer is C

Explanation

Choice A reason: Restricting visiting of the victims until the bodies are prepared is a procedural step that can be managed without immediate involvement. While it's important, it does not directly address the family's immediate emotional needs.

Choice B reason: Providing privacy for law enforcement to interview the family is necessary for the investigation, but it should not take precedence over addressing the family's immediate emotional distress.

Choice C reason: Offering a calm location for the family to cope and discuss their needs addresses the immediate emotional and psychological support that the family requires in the wake of a traumatic event. It provides them with a safe space to begin processing their grief and start the healing process.

Choice D reason: Calling the hospital chaplain is a valuable step for providing spiritual and emotional support, but the first priority is to offer a calm and safe environment for the family. The chaplain can then be called to assist in this supportive space.

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The nurse is educating a transgender female client about the expected outcomes of estrogen therapy. Which statement made by the client would indicate the need for further teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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