The 12-year-old patient reports that menarche occurred 5 months ago. She has had bleeding every day this month, and is very worried. The nurse should explain that the most common cause of this bleeding is:
1. Dysfunctional uterine bleeding (DUB).
2. Diabetes mellitus (DM).
3. Pregnancy.
4. Von Willebrand's disease.
1
Rationale 1: Adolescents account for 20% of DUB cases due to hypothalamic immaturity after menarche.
Rationale 2: Uterine bleeding is not a symptom of DM.
Rationale 3: Uterine bleeding is not a symptom of pregnancy.
Rationale 4: Although von Willebrand's disease can cause irregular uterine bleeding, it is quite rare.
You might also like to view...
A couple are seeking advice regarding what they can do to increase the chances of becoming pregnant. What recommendation can the nurse give to the couple?
1. The couple could use vaginal lubricants during intercourse. 2. The couple should delay having intercourse until the day of ovulation. 3. The woman should refrain from douching. 4. The woman should be on top during intercourse.
The nurse is preparing to interview a client with osteoporosis. Which question related to symptoms should the nurse include?
A. "Have you had any recent weight gain or loss?" B. "Do you feel you get adequate sleep at night?" C. "Are you currently taking any medications?" D. "Do you have difficulty breathing?"
Name three factors that may cause one to be physically compromised
What will be an ideal response?
In preparation for a credentialing process, a county hospital will be conducting an audit. What is the primary focus of this activity?
A) Evaluating whether ethical principles are being integrated into bedside care B) Determining caregivers' knowledge base around evidence-based practice (EBP) C) Determining whether patient outcomes at the hospital align with patient expectations D) Evaluating whether current practice is based on the best available evidence