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 C

Explanation

Choice A reason: Providing nasopharyngeal suctioning for a client with pneumonia is within the scope of practice for an LPN. This task involves performing a procedure to clear the airway, which is a common responsibility for LPNs.

Choice B reason: Assisting a client who is 24 hours post-operative to use an incentive spirometer is appropriate for an LPN. This task involves helping a client with breathing exercises to prevent post-operative complications, which is a standard part of post-operative care.

Choice C reason: Teaching a new client who has asthma to use a metered-dose inhaler requires educational and assessment skills that typically fall within the scope of practice for a registered nurse (RN). While LPNs can reinforce education, the initial teaching and assessment of a client's understanding should be done by an RN.

Choice D reason: Collecting a clean catch urine from an ambulatory client with a wound is within the scope of practice for an LPN. This task involves obtaining a urine sample, which is a routine procedure that LPNs are trained to perform.

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

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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