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Unexplained vaginal bleeding is a contraindication for hormone replacement therapy. Family history of

stroke is not a contraindication for hormone replacement therapy. If the woman herself had a history of stroke or

other blood-clotting events, hormone therapy could be contraindicated. Frequent hot flashes and/or night sweats

can be relieved by hormone replacement therapy.Health Promotion and Maintenance

Sodium and chloride are the major electrolytes in the extracellular fluid.Physiological Adaptation

Eggs are a complete protein. The remaining options are incomplete proteins.Health Promotion and

Maintenance

Vaccines are one of the most effective methods of preventing and controlling certain communicable diseases.

The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the

world’s population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine

childhood immunization. They have not, however, been eradicated, so children need to be immunized against

these diseases.Physiological Adaptation

Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and

easier to evacuate.Basic Care and Comfort

If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later.Reduction of Risk Potential

The moro reflex has all of the listed characteristics.

Chronic conditions are not considered a contraindication for immunization.

The bicarbonate value is below normal, indicating a condition of metabolic acidosis.

Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly insulin injections, foot care, sick-day plans, and so forth. Choices 1 and 4 are diagnoses to prevent, but no evidence suggests that they exist at this point. Diabetics might have more or less nutrition than body requirements—type II is likely to be more, but type I is likely to be less.Physiological Adaptation

Each lower extremity is scored as 18% according to the Rule of Nines.

60-115 mg/dl is standard range for serum glucose levels.

Rugs and clutter are a primary cause of falls in the home and should be eliminated if possible to decrease the risk of a fall. The elderly and those with gait issues are at an increased risk for a fall at home. The client should have a raised toilet seat and grab bars available in the bathroom to aid in movement in this potential slippery area of the home. Some clients find it difficult to rise up and down from the toilet and to get in and out of the shower. These items are all important in maintaining safety in the home. The client should not limit her movement within the home unless ordered by the physician. This decreases the ability of the client to perform activities of daily living and hinders the client’s return to a normal lifestyle after surgery. The client should notwear baggy clothing such as long robes, and the client should not wear socks on slippery floors. These items can cause the client to trip, slip, or fall.Health Promotion and Maintenance

Effective delegation depends on clear, concise direction that leaves no room for question or interpretation on

the part of the one being delegated to. Nursing assistants have a limited understanding of medical conditions and

terminology, and should not be relied on to prioritize such tasks.Coordinated Care

Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.Safety andInfection Control