An adolescent girl reports having heavy menstrual periods. Her hemoglobin is consistently on the low end of the normal range. The primary care NP should prescribe:
a. iron supplements.
b. a folic acid supplement.
c. oral contraceptive pills.
d. increased red meats in her diet.
C
Women are at risk for iron-deficiency anemia from menstrual blood loss. Taking oral contraceptives reduces this risk by moderating periods. Iron would be indicated if anemia actually occurs, but this patient is just at risk. Folic acid supplements are not indicated to prevent iron-deficiency anemia. Dietary iron usually is not sufficient for replacing iron losses.
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A nurse is determining the needs of a selected aggregate. Eight percent of the aggregate has diabetes. Which of the following best describes the action that should be taken next to determine if this should be a priority?
a. Ask the American Diabetes Association if 8% is a worrisome rate. b. Discuss the findings with the head of the public health department. c. Review the literature to determine the national and state diabetic rate. d. Determine what the aggregate's diabetic rate has been in the past.
A pregnant adolescent asks if the father of the baby can come into the room during the examination. Based on both the pregnant adolescent's and the father's needs, which is the best response for the nurse to make?
A) "If your parents approve.". B) "If you want him to come in.". C) "Adolescent fathers have no legal right in regard to a child.". D) "Not participating will help him be more responsible in the future.".
A client diagnosed with diabetes has been prescribed insulin. During the discharge
teaching, which should the nurse tell the client regarding storage of insulin? A) Keep it in a cabinet near the window B) Store it in an opaque container C) Refrigerate the medication D) Store it in a kitchen cabinet
Tinnitus is:
a. Dizziness b. A ringing, roaring, hissing, or buzzing in the ears or head c. A sign language d. Hearing loss