A client with estrogen excess may report which of the following symptoms to the nurse during ongoing assessment during treatment with Ortho-Novum 7/7/7? Select all that apply
A) Nausea
B) Early breakthrough bleeding
C) Cervical mucorrhea
D) Edema
E) Increased spotting
Ans: A, C, D
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Signs of excess estrogen include nausea, bloating, cervical mucorrhea, polyposis, hypertension, migraine headache, breast fullness or tenderness, and edema.
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A 91-year-old patient is slated for orthopedic surgery and the nurse is integrated gerontologic considerations into the patient's plan of care. What intervention is most justified in the care of this patient?
A) Administration of prophylactic antibiotics B) Total parenteral nutrition (TPN) C) Use of a pressure-relieving mattress D) Use of a Foley catheter until discharge
The nurse plans a fall prevention program for a confused patient. Which task from the program is suitable for the nurse to delegate to nursing assistive personnel (NAP)?
a. Evaluating patient understanding of fall prevention plan b. Keeping the patient's bed in the low posi-tion at all times c. Assessing the patient's circulatory and respiratory status d. Instructing the patient's family about al-ternatives to restraints
One way to help clients follow the Dietary Guidelines for Americans is to encourage them to use
a. Healthy People 2020. b. MyPyramid. c. The Food Stamp Program. d. The Exchange Lists for Meal Planning.
A patient is planning to perform incentive spirometry after abdominal surgery. The nurse should encourage the patient to do which of the following?
a. Get comfortable in a semi-reclined position. b. Inhale as deeply as possible and then exhale into the incentive spirometry device. c. Hold the breath for at least 3 seconds before exhaling. d. Exhale as quickly as possible.