QUESTIONS AND VERIFIED
CORRECT ANSWERS
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A 34-year-old client presents to the family practice clinic with complaints of not having a
menstrual period in the past 14 months. What data should the nurse obtain when performing a
physical examination on the client?
a Drug and alcohol use
b Sexual history
c Menstrual history
d Weight and height - CORRECT ANSWER-d
(Rationale
When performing a physical examination on a perimenopausal client, the nurse needs to obtain
the client's weight and height. The client's sexual and menstrual history and use of alcohol and
drugs are data obtained when performing the health history.)
,A 52-year-old woman complains of hot flashes, night sweats, irritability, decreased vaginal
lubrication, and no menstrual period in the past 15 months. Over the past several weeks, the
hot flashes and night sweats have increased in frequency, and she has noticed that she is more
irritable. Laboratory values reveal increased follicle-stimulating hormone and luteinizing
hormone levels. Which intervention should the nurse initiate?
(Select all that apply.)
a Asking open-ended questions about the client's body image
b Instructing the client to avoid over-the-counter vaginal lubricants
c Explaining such physiological manifestations of menopause as hot flashes and night sweats
d Providing information about medications that might be prescribed to help with menopausal
symptoms
e Encouraging discussion of how menopausal symptoms are affecting sexual functioning -
CORRECT ANSWER-a,c,d,e
(Rationale
The client is undergoing menopause. The client with menopause may have problems
understanding the natural female aging process, sexual dysfunction, low self-esteem, or
disturbed body image. Interventions to help the client with these problems include explaining
the physiological manifestations of menopause; providing information about medications that
might be prescribed to help with menopausal symptoms; encouraging discussion of how
menopausal symptoms are affecting sexual functioning; and instructing the client to use vaginal
lubricants if experiencing decreased lubrication. Asking open-ended questions will further
explore the client's thoughts and feelings about body image in a therapeutic manner.)
Which medication is used off-label to reduce the occurrence of hot flashes associated with
menopause?
, a Raloxifene (Evista)
b Venlafaxine (Effexor)
c Levothyroxine (Synthroid)
d Triphenylethylene (Tamoxifen) - CORRECT ANSWER-b
(Venlafaxine (Effexor) is an antidepressant used off-label to reduce the occurrence of hot
flashes. Triphenylethylene (Tamoxifen) and raloxifene (Evista) are used to improve bone density
and serum lipids in women who are menopausal. Levothyroxine (Synthroid) is ordered for a
client with a history of hypothyroidism.)
Which treatment is considered an alternative or complementary therapy in managing a
menopausal client?
(Select all that apply.)
a Hormone replacement therapy
b Herbs
c Yoga
d Bioidentical hormones