A 52-year-old woman reports having hot flashes and intense mood swings. After a year of having irregular menstrual periods, she has not had a period for 6 months. The primary care NP should diagnose:

a. menopause.
b. dysmenorrhea.
c. perimenopause.
d. postmenopause.


C
Perimenopause usually occurs between ages 42 and 55 and is characterized by erratic ovulation and irregular periods, hot flashes, and intensified PMS symptoms. Menopause begins when periods have been absent for 12 months. Postmenopause describes the 5-year period after menopause. Dysmenorrhea is painful periods.

Nursing

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A client has been treated for a deep vein thrombus and today presents to the clinic with petechiae. Laboratory results show a platelet count of 42,000/mm3. The nurse reviews the client's medication list to determine if the client is taking which drug?

a. Enoxaparin (Lovenox) b. Salicylates (aspirin) c. Unfractionated heparin d. Warfarin (Coumadin)

Nursing

After disturbing the peace, an aggressive, disoriented, unkempt, homeless individual is escorted to an emergency department. The client threatens suicide

Which of the following criteria would enable a physician to consider involuntary commitment? (Select all that apply.) 1. Being dangerous to others 2. Being homeless 3. Being disruptive to the community 4. Being gravely disabled and unable to meet basic needs 5. Being suicidal

Nursing

A disciplined intellectual process of applying skillful reasoning, imposing intellectual standards, and self-reflective thinking as a guide to belief or action is known as:

a. problem solving c. critical thinking b. metacognition d. learning style

Nursing

A client with a spinal cord injury is at risk for complications to the gastrointestinal system. The nursing intervention primarily directed at minimizing this risk is:

1. Insertion of a nasogastric tube. 2. Administration of a lansoprazole (Prevacid). 3. Elevating the end of the bed to 35 degrees. 4. Regular assessment of the client's bowel sounds.

Nursing