The nurse is providing client education for a postmenopausal client; which risks associated with estrogen/progestin therapy should the nurse discuss with the client? (Select all that apply.)

Decreased bone density

Ovarian cancer

Stroke

Increased colon cancer

Deep vein thrombosis

Answer and Explanation

Correct Answer : B,C,E

A) This is not a risk of estrogen/progestin therapy. In fact, estrogen/progestin therapy can help prevent osteoporosis and fractures by increasing bone density and strength.

B) This is a possible risk of estrogen/progestin therapy. Some studies have suggested that taking estrogen/progestin therapy for more than five years may increase the risk of ovarian cancer. However, other studies have not found this association

C) This is a serious risk of estrogen/progestin therapy. Estrogen/progestin therapy can increase the risk of blood clots, which can lead to stroke or heart attack. The risk is higher for women who smoke, have high blood pressure, diabetes, or a history of cardiovascular disease.

D) This is not a risk of estrogen/progestin therapy. In fact, some studies have suggested that estrogen/progestin therapy may reduce the risk of colon cancer by lowering inflammation and promoting regular bowel movements.

E) This is another serious risk of estrogen/progestin therapy. Deep vein thrombosis (DVT) is a condition where a blood clot forms in a deep vein, usually in the leg. It can cause pain, swelling, and redness in the affected area. If the clot breaks off and travels to the lungs, it can cause a life threatening condition called pulmonary embolism (PE). Estrogen/progestin therapy can increase the risk of DVT and PE by making the blood more likely to clot

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Correct Answer is C

Explanation

A) This is not the correct duration for insulin glargine. Insulin glargine has a much longer duration.

B) The duration of 2 to 4 hours is too short for insulin glargine.

C) Insulin glargine is a long-acting insulin with a duration of 18 to 24 hours.

D) The duration of 6 to 14 hours is too short for insulin glargine.

A. Encourage oral fluid intake during the infusion and for 2 hours after the infusion. B. Monitor urinary output every 30 minutes. C. Provide a low-protein diet for one day before and two days after the acyclovir infusion. D. Administer intravenous normal saline boluses, as ordered.

Correct Answer is A

Explanation

a. This is the correct answer because maintaining adequate hydration helps prevent nephrotoxicity associated with acyclovir. Encouraging fluid intake during and after the infusion helps flush the drug through the kidneys.

b. While monitoring urinary output is important, it alone may not be sufficient to prevent nephrotoxicity.

c. Providing a low-protein diet is not a standard intervention for preventing acyclovir-induced nephrotoxicity.

d. Administering intravenous normal saline boluses, as ordered, can help maintain hydration and prevent nephrotoxicity. However, encouraging oral fluid intake is a more direct and immediate measure during acyclovir infusion.

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The nurse is providing client education for a postmenopausal client; which risks associated with estrogen/progestin therapy should the nurse discuss with the client? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

The diabetic client receives an injection of insulin glargine. What is the duration of insulin glargine?

Correct Answer is C

Explanation

The nurse is caring for a client who has an order for no food or drink by mouth and is receiving intravenous acyclovir. To prevent nephrotoxicity, what is the nurse's action?

Correct Answer is A

Explanation

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