The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because practicing yoga daily is a recognized complementary therapy that promotes physical and mental well-being. Yoga has been shown to reduce stress, improve flexibility, and enhance overall health. B is incorrect as drinking green tea is considered a dietary choice rather than a specific alternative therapy practice. C is incorrect as taking omeprazole is a conventional medication for acid reflux, not a complementary therapy. D is incorrect as aromatherapy is a complementary therapy, but using it during a relaxing bath is not a specific practice related to alternative therapies.

Correct Answer: A

Rationale: The correct answer is A: At risk for falls related to impaired balance. This is the priority nursing diagnosis because falls in elderly patients with osteoporosis can lead to serious consequences such as fractures. Assessing and addressing impaired balance can help prevent falls. Choice B is incorrect as addressing the risk of falls is more urgent than educating the patient on a new medication regimen. Choice C is also incorrect as addressing mobility issues can come after addressing the risk of falls. Choice D is incorrect as it focuses on health maintenance rather than immediate safety concerns like the risk of falls.

Correct Answer: A

Rationale: Rationale: Moderate-intensity exercises are recommended for managing menopausal symptoms like hot flashes and mood swings by improving overall health and reducing stress. Exercise can also help with weight management and bone health. Summary: - Balanced diet with calcium (B) is important for overall health but not specific to treating menopausal symptoms. - Alternative medicine like black cohosh (C) may have limited evidence and can vary in effectiveness. - Over-the-counter sleep aids (D) may help with sleep disturbances but are not specific to managing menopausal symptoms.

Correct Answer: B

Rationale: The correct answer is B: Dilation and curettage. This procedure is indicated for heavy uterine bleeding in the setting of a positive pregnancy test to diagnose and treat conditions such as incomplete miscarriage or ectopic pregnancy. Dilation and curettage involves dilating the cervix and scraping the uterine lining to remove any remaining products of conception. It is important in this case to rule out any potential sources of bleeding that could be life-threatening. A: Endometrial biopsy is not the appropriate initial management in this scenario as it is primarily used to assess endometrial pathology such as cancer. C: Colposcopy is a procedure used to examine the cervix and vagina for abnormalities, not typically indicated for heavy uterine bleeding in the setting of a positive pregnancy test. D: Laparoscopy is a minimally invasive surgical procedure used to view the abdominal organs, not typically indicated for uterine bleeding related to a positive pregnancy test.

Correct Answer: E

Rationale: The correct answer is E) Diet and exercise will improve insulin sensitivity, which can help regulate menstrual cycles and improve fertility in women with PCOS. This rationale is based on the understanding that insulin resistance is a key underlying factor in PCOS, leading to hormonal imbalances that contribute to symptoms like hirsutism and acne. By addressing insulin resistance through diet and exercise, women with PCOS can improve their overall hormonal balance, leading to more regular ovulation and menstrual cycles, and potentially enhancing fertility. Option A is incorrect because while weight loss can help decrease hyperandrogenemia in PCOS, the primary mechanism is through improving insulin sensitivity rather than just weight loss alone. Option B is incorrect because while diet and exercise can indeed help reduce the risk of type 2 diabetes and gestational diabetes in women with PCOS, the primary focus of addressing hirsutism and acne in this context is improving hormonal balance through insulin sensitivity. Option C is incorrect because while diet and exercise can improve lipid levels and decrease the risk of cardiovascular disease, these outcomes are not directly linked to the improvement of hirsutism and acne in PCOS, which are primarily driven by hormonal imbalances. In an educational context, understanding the role of insulin resistance in PCOS and the impact of diet and exercise on improving insulin sensitivity is crucial for nurses when developing teaching plans for patients with PCOS. By addressing the underlying hormonal imbalances through lifestyle modifications, nurses can empower patients to manage their symptoms effectively and improve their overall health outcomes.