A couple is requesting fertility counseling. The nurse practitioner has identified the factors listed below in the woman's health history, and knows which of them could be contributing to the couple's infertility?

1. The client is 38 years old.
2. The client was 13 years old when she started her menses.
3. The client works as a dental hygienist 3 days a week.
4. The client jogs 2 miles a day.


1
Explanation: 1. As the eggs of older women age, their fertility is reduced.

Nursing

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The nursing student taking care of a client in the mental health clinic learns through assessment that the client's wife insisted he admit himself into the clinic even though his wife is the one with a documented history of mental illness

The client states, "I just want her to be happy." The nursing student suspects that the client's relationship with his wife may be: 1. Enmeshed. 2. Disengaged. 3. Hostile. 4. Skewed.

Nursing

A 54-year-old male has just been diagnosed with nonsmall cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What is the nurse's best response?

A) "The cells in small cell cancer of the lung are so small that it is hard to get them all out of the lung with surgery." B) "Small cell lung cancer does not respond well to surgical treatment." C) "You will have to ask the physician that question." D) "Small cell cancer of the lung grows rapidly and metastasizes early and extensively."

Nursing

The nurse assesses the client's heart sounds and auscultates a sharp clicking sound. Which does the nurse implement?

1. Asks client about valve replacement surgery 2. Instructs client to elevate the head of the bed 3. Requests tutoring for heart sound auscultation 4. Explains this is a normal finding in older adults

Nursing

A public health nurse (PHN) is working with a community after a major wildfire. The fire has been completely contained and will be put out shortly. How does the nurse proceed?

A. Return home and allow the local firefighters to finish putting the fire out. B. Contact the Federal Government to ask for assistance in managing the wildfire. C. Wait another day or two until the fire is confirmed to be out and then return home. D. Begin surveillance and assess for incidences of respiratory disease related to the fires.

Nursing