A 63-year-old female patient requests information about ...

[SGallaher96]

A 63-year-old female patient requests information about complementary and alternative therapies that promote wellness during menopause. Which therapies should the nurse recommend?
 
  1. Non-weight-bearing exercise, such as swimming.
  2. Increased consumption of phytoestrogens (i.e., plant products with estrogen properties) for women with a history of endometeriosis or fibroids.
  3. Calcium intake of 600 mg per day to help prevent osteoporosis.
  4. Soy for reducing insomnia symptoms.

Question 2

What is the best indicator that the patient is experiencing menopause?
 
  1. No menses for 8 consecutive months
  2. Hot flashes and night sweats
  3. High serum FSH with low serum estrogen
  4. Diagnosed with osteoporosis 4 months ago

[randomguy133]

Answer to Question 1

Correct Answer: 4
Rationale 1: Weight-bearing exercises such as walking, jogging, tennis, and low-impact aerobics are encouraged in order to increase bone mass and decrease the risk of osteoporosis.
Rationale 2: Women who have endometriosis or fibroids should be cautioned on the use of phytoestrogens
Rationale 3: Peri- and postmenopausal women are advised to have a calcium intake of at least 1200 mg per day. Most women require supplements to achieve this level.
Rationale 4: Research suggests that isoflavones, which are found in soy, are effective in reducing symptoms of insomnia in postmenopausal women.

Answer to Question 2

Correct Answer: 3
Rationale 1: Menopause is defined as 12 months of amenorrhea.
Rationale 2: Although hot flashes and night sweats are common in menopause, lab values or twelve months of amenorrhea are better indicators.
Rationale 3: Examining serum levels of the hormones FSH and estrogen is a very accurate indication of menopause.
Rationale 4: Menopause is not the only cause of osteoporosis; therefore, the diagnosis of osteoporosis 4 months ago is not an indicator of menopause.

[SGallaher96]

Excellent

[EAN94]

TYSM