Author Question: A postmenopausal client asks why she has been scheduled for a bone density test even though she has ... (Read 36 times)

jerry coleman · **on:** Jul 23, 2018

A postmenopausal client asks why she has been scheduled for a bone density test even though she has no history of fractures. What is the nurse's best response?

1. This is a very quick test, and it won't cause you any pain.
2. It is important to find out if you are losing bone density because you do not produce as much estrogen as you did previously. This test will see if you are developing osteoporosis.
3. Because you are not ovulating, your bones will start breaking.
4. Everyone should have a bone density test.

Question 2

The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities. The nurse teaches that during the menstrual cycle, the majority of progesterone is secreted by the:

1. hypothalamus.
2. corpus luteum.
3. ovarian follicle.
4. anterior pituitary gland.

bubulittle310@msn.cn · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: This does not answer the client's question.
Rationale 2: The nurse explains the connection between estrogen and bone density as well as the rationale for the test.
Rationale 3: The lack of ovulation does not cause bones to break.
Rationale 4: This is a global and opinionated statement and does not address the client's question.
Global Rationale: The nurse explains the connection between estrogen and bone density as well as the rationale for the test. The speed of the test is not relevant to the question. The lack of ovulation does not cause bones to break. Everyone should have a bone density test is an opinion and does not address the question.

Answer to Question 2

Correct Answer: 2
Rationale 1: The hypothalamus does not secrete progesterone.
Rationale 2: The corpus luteum is the remnant of the ovarian follicle, which remains in the ovary. It secretes steadily increasing amounts of progesterone for 12 days, unless the ovum is fertilized.
Rationale 3: The ovarian follicle does not secrete progesterone.
Rationale 4: The anterior pituitary gland does not secrete progesterone.
Global Rationale: The corpus luteum is the remnant of the ovarian follicle, which remains in the ovary. It secretes steadily increasing amounts of progesterone for 12 days, unless the ovum is fertilized. The hypothalamus, ovarian follicle, and anterior pituitary do not secrete progesterone.