When advising a menopausal woman who opts not to use hormone therapy, which self-care measure should be emphasized as the most important?

Limit alcohol and caffeine intake

Taking vitamin E and B complex vitamin supplements

Decreasing the intake of dairy products

Performing regular weight-bearing exercises

Answer and Explanation

The Correct Answer is D

A. Incorrect → Limiting alcohol and caffeine can help, but it is not as critical as exercise in preventing osteoporosis.

B. Incorrect → Vitamin E and B complex vitamins may offer general health benefits but are not essential for menopause management.

C. Incorrect → Dairy is a key source of calcium, and menopausal women should increase calcium intake to support bone health.

D. Weight-bearing exercises (e.g., walking, strength training) help maintain bone density and reduce the risk of osteoporosis in menopausal women.

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Correct Answer is ["B","C","F"]

Explanation

A. Decreased urine output → Not a direct sign of PDA; it may indicate other conditions such as heart failure or hypoperfusion.

B. Bounding peripheral pulses → PDA causes increased systemic blood flow due to left-to-right shunting, leading to strong, bounding pulses.

C. Wide pulse pressure → PDA increases systolic pressure while lowering diastolic pressure, widening the pulse pressure.

D. Bradycardia → PDA is more likely to cause tachycardia due to increased cardiac workload.

E. Cyanosis of the extremities → PDA primarily causes left-to-right shunting, which does not typically result in cyanosis unless Eisenmenger syndrome (reversal to right-to-left shunting) develops.

A. Apply breast milk to the nipples before each feeding B. Apply ice packs to the nipples before each feeding C. Start breastfeeding with the nipple that is less sore D. Change the infant's position on the nipples E. Wear a tight fitting nursing bra with breast pads inside

Correct Answer is ["A","C","D"]

Explanation

A. Apply breast milk to the nipples → Breast milk has natural healing properties and helps soothe sore nipples.

B. Apply ice packs → Ice can cause vasoconstriction, which may worsen discomfort; warm compresses are preferred.

C. Start breastfeeding with the nipple that is less sore → Infants suck more vigorously at the start of a feeding, so beginning with the less sore nipple reduces discomfort.

D. Change the infant’s position → Different latch positions can reduce pressure on sore areas, promoting healing.

E. Wear a tight-fitting nursing bra → A properly fitting bra is essential; tight bras may increase discomfort and risk of clogged ducts.

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When advising a menopausal woman who opts not to use hormone therapy, which self-care measure should be emphasized as the most important?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PDA). Which of the following assessment findings would be consistent with this diagnosis? (Select All that Apply.)

Correct Answer is ["B","C","F"]

Explanation

A nurse is caring for a client who is 2 days postpartum, is breastfeeding and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?

When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for? (Select All that Apply.)

A 16-year-old is brought to the emergency room by her boyfriend with bruising around her eyes and neck. When asked what happened she states, "I walked into a door." What are the most appropriate interventions by the nurse? (Select All that Apply.)

The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show. Which intervention should be performed first?

The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?

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A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?