A female patient complains about increasing premenstrual symptoms over the past few years and thinks "something must be wrong." The nurse realizes that this patient is experiencing which health condition?
1. early menopausal symptoms
2. premenstrual dysphoric disorder
3. interpersonal relationship difficulties
4. normal pattern of premenstrual syndrome
Correct Answer: 4
Premenstrual syndrome (PMS) is seen less frequently during the teens and 20s and reaches a peak in the mid-30s. Major life stressors, age greater than 30, and depression are risk factors associated with PMS. The manifestations being exhibited are not consistent with menopausal symptoms. There are no indications of interpersonal relationship concerns. Premenstrual dysphoric disorder is PMS of such severity that it has a psychiatric label. This severe form of PMS affects a small number of women and is not indicated by the patient's complaints.
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The nurse notifies the primary care provider that the patient is experiencing pain. The provider gives the nurse a telephone prescription for morphine 4 mg intravenously every hour as needed for pain. How should the nurse document this telephone order?
a. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain. Kay Andrews, RN b. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain T.O.: Dr. D. Kelly/Kay Andrews, RN c. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain V.O.: Dr. D. Kelly/Kay Andrews, RN d. 09/02/16 0845 morphine 4 mg intravenously q 1 hour V.O. Kay Andrews, RN
The nurse is caring for a client in a catabolic state following major surgery and complications that developed as a result of the surgery. The nurse will assist in planning for food intake by:
1. Weighing the client. 2. Suggesting the client select eggs rather than oatmeal for breakfast. 3. Meeting with the spouse and finding out the client's favorite foods. 4. Telling the client that caloric intake should go up about 10% each day until complete healing is achieved.
A male client reports to the clinic with an open area on his penis. Which of the following questions will be most important to include in the data collection?
1. "Have you had sexual intercourse recently?" 2. "Do you think you have a disease?" 3. "Are you promiscuous?" 4. "When did you initially notice this open area?"
A hospitalized client is being woken up every hour during the night for care and procedures. The nurse realizes that the lack of NREM sleep can have which physiological effect?
1. Decrease urine output 2. Increase thirst 3. Increase susceptibility to infection 4. Decrease heart rate