The 50-year-old who is postmenopausal asks the nurse about the ...

[beccaep]

The 50-year-old who is postmenopausal asks the nurse about the use of estrogen replacement therapy to protect the heart. How should the nurse respond?
 
  1. This therapy is well proven to protect the heart in postmenopausal women.
  2. Estrogen replacement therapy is helpful to reduce the sleep disturbances and hot flashes associated with menopause, but does not protect the heart.
  3. Estrogen replacement therapy has been proven to have no effect on any postmenopausal symptoms and is not protective of the heart.
  4. The use of estrogen replacement therapy is complex and requires a thoughtful review of the balance between possible benefits and possible risks.

Question 2

The nurse assessing a 1-day-old infant discovers the heart rate is 140 and irregular. What action should the nurse take?
 
  1. Immediately contact the infant's physician.
  2. Prepare to resuscitate the infant.
  3. Note this normal finding in the infant's medical record.
  4. Stimulate the infant gently.

[Mochi]

Answer to Question 1

Correct Answer: 4
Rationale 1: Research on estrogen replacement therapy is ongoing. Currently, it is thought that there may be some benefit in reducing cardiac risk.
Rationale 2: Research on estrogen replacement therapy is ongoing. Currently, it is thought that there may be some benefit in reducing cardiac risk.
Rationale 3: Research on estrogen replacement therapy is ongoing. Currently, it is thought that there may be some benefit in reducing cardiac risk.
Rationale 4: There is some concern about the risk of administering this therapy and the development of other health problems such as cancers. The choice to use this therapy should be made only after careful consideration of these benefits and risks.

Answer to Question 2

Correct Answer: 3
Rationale 1: There is no need to contact the infant's physician.
Rationale 2: This infant does not need resuscitation.
Rationale 3: An irregular heart rate of 140 is common and normal in an infant of this age. The finding should be recorded in the medical record.
Rationale 4: This infant does not need stimulation.

[beccaep]

Excellent

[nanny]

TYSM