a patient is prescribed estradiol estrace for hormone replacement therapy hrt what should the nurse monitor during this therapy a patient is prescribed estradiol estrace for hormone replacement therapy hrt what should the nurse monitor during this therapy
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Nursing Elites

ATI RN

ATI Pathophysiology

1. A patient is prescribed estradiol (Estrace) for hormone replacement therapy (HRT). What should the nurse monitor during this therapy?

Correct answer: B

Rationale: During estradiol therapy, monitoring liver function tests is essential due to the potential for liver dysfunction. Estradiol can affect liver function, making it crucial to monitor enzyme levels. Choice A, blood glucose levels, is not directly impacted by estradiol therapy, making it an incorrect choice. Choice C, kidney function tests, is not typically affected by estradiol therapy, so it is not the priority for monitoring. Choice D, blood pressure, is also not the primary parameter to monitor during estradiol therapy unless there are pre-existing conditions that warrant such monitoring.

2. Which instruction will the nurse plan to include in discharge teaching for a patient admitted with a sickle cell crisis?

Correct answer: C

Rationale: The correct answer is C: 'Avoid exposure to crowds when possible.' This instruction is crucial in discharge teaching for a patient admitted with a sickle cell crisis because exposure to crowds increases the risk of infection, which is the most common cause of sickle cell crisis. Choices A, B, and D are incorrect. Taking a daily multivitamin with iron (Choice A) may be beneficial for some individuals but is not specifically related to managing sickle cell crisis. Limiting fluids to 2 to 3 quarts per day (Choice B) is not typically recommended for patients with sickle cell crisis, as adequate hydration is important. Drinking only two caffeinated beverages daily (Choice D) is not a priority instruction in managing sickle cell crisis.

3. Which is an accurate description of homosexual (or gay-lesbian) families?

Correct answer: D

Rationale: Research shows that the quality of parenting in homosexual families is equivalent to that in heterosexual families, and children thrive in nurturing environments provided by same-sex parents.

4. A nurse needs to know how to increase her power base. Which of the following are ways nurses can generate power as described by Umiker?

Correct answer: D

Rationale: The correct answer is D: 'All of the above.' Umiker describes four ways to generate power: using words, through delivery, by listening, and through body language. Choice A is correct as it mentions using body language. Choice B is correct as it mentions listening. Choice C is correct as it pertains to using words effectively and avoiding clichés. Therefore, all the choices are ways nurses can generate power as described by Umiker.

5. Which type of parenting style is associated with children who rank higher on many measures of social and cognitive development?

Correct answer: A

Rationale: Research has shown that a warm, responsive, and positive parenting style is associated with children who rank higher on many measures of social and cognitive development. This style promotes secure attachment, emotional regulation, and overall well-being in children. In contrast, parenting styles characterized by neutrality, rigidity, negativity, or neglect have been linked to poorer outcomes in children's development. Understanding different parenting styles can help professionals tailor interventions to support families effectively and respectfully.

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