A postmenopausal client learns that her level of good cholesterol ...

[c0205847]

A postmenopausal client learns that her level of good cholesterol is decreasing and the level of bad cholesterol is rising. How should the nurse explain this physiologic mechanism to the client?
 
  1. At menopause, your body quits producing progesterone, which keeps your cholesterol level low.
  2. Menopause weakens the blood vessels and allows the bad cholesterol to become more prominent.
  3. During menopause, the estrogen level decreases dramatically. Estrogen helps to keep the good' cholesterol high and the bad' cholesterol low, and also helps to protect the heart.
  4. Because cholesterol problems are all hereditary, your bad' cholesterol levels are probably rising in the same manner as your family members' did.

Question 2

An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year. What is the most likely cause of this client's problem?
 
  1. Anovulatory cycles
  2. Abnormal uterine lining
  3. Polycystic ovarian syndrome
  4. Pregnancy

[kkenney]

Answer to Question 1

Correct Answer: 3
Rationale 1: Progesterone does not affect cholesterol levels.
Rationale 2: Menopause does not weaken the blood vessels.
Rationale 3: Estrogen decreases the levels of low-density lipoprotein (LDL) and increases the amount of high-density lipoprotein. These effects are cardioprotective and decrease the risk of myocardial infarction.
Rationale 4: Not all cholesterol problems are caused by heredity.
Global Rationale: Estrogen decreases the levels of low-density lipoprotein (LDL) and increases the amount of high-density lipoprotein. These effects are cardioprotective and decrease the risk of myocardial infarction. Progesterone does not affect cholesterol levels. Menopause does not weaken the blood vessels. Not all cholesterol problems are caused by heredity.

Answer to Question 2

Correct Answer: 1
Rationale 1: Dysfunctional uterine bleeding is common in adolescents and menopausal women and is often associated with anovulatory cycles.
Rationale 2: Abnormal uterine lining would cause dysfunctional uterine bleeding but is not often seen in adolescents.
Rationale 3: Polycystic ovarian syndrome does not cause oligomenorrhea.
Rationale 4: Pregnancy would cause a cessation of periods, not infrequent periods.
Global Rationale: Dysfunctional uterine bleeding is common in adolescents and menopausal women and is often associated with anovulatory cycles. Abnormal uterine lining would cause dysfunctional uterine bleeding but is not often seen in adolescents. Polycystic ovarian syndrome does not cause oligomenorrhea. Pregnancy would cause a cessation of periods, not infrequent periods.

[c0205847]

Thanks for the timely response, appreciate it

[tuate]

Excellent