A young female client comes to the health unit at school to discuss her irregular periods
In providing education regarding the female reproductive cycle, the nurse describes the regular and recurrent changes related to the ovaries and the uterine endometrium. Al-though this is generally referred to as the menstrual cycle, the ovarian cycle includes which phases? Select that apply. a. Follicular
b. Ovulatory
c. Luteal
d. Proliferative
e. Secretory
A, B, C
Correct: A, B, C. The follicular phase is the period during which the ovum matures. It begins on day 1 and ends around day 14 . The ovulatory phase occurs near the middle of the cycle about 2 days before ovulation. After ovulation and under the influence of the luteinizing hormone, the luteal phase corresponds with the last 12 days of the menstrual cycle.
Incorrect: D, E. The proliferative and secretory phases are part of the endometrial cycle. The proliferative phase takes place during the first half of the ovarian cycle when the ovum matures. The secretory phase occurs during the second half of the cycle when the uterus is prepared to accept the fertilized ovum. These are followed by the menstrual phase if fertiliza-tion does not occur.
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A nurse manager is considering referring a nurse who is very stressed to the employee assistance program (EAP) offered by the institution. What does this consideration indicate?
1. The manager believes this service would promote the nurse's health and well-being. 2. The manager thinks the nurse is abusing alcohol to cope with the stress. 3. The manager thinks that this referral will help the nurse avoid sanction by the state board of nursing. 4. The manager believes the nurse is abusing controlled medications to cope with stress.
Identify the most important element to look for in a good contract
a. Description of the official bargaining group b. Description of the benefits included in the contract, such as wages, overtime pay, and holidays c. Description of what is expected of the professional d. Timeframe for the implementation of the contract
The nurse is using the central concepts of nursing when providing client care. What actions is this nurse performing?
1. Including a client's family in discussions regarding the client's discharge health needs 2. Assessing a physically dependent client's spouse for indications of caregiver stress 3. Asking clients to define what "healthy and well" means to them 4. Suggesting wound care supplies with the priority of cost 5. Advocating for a client who is not responding to current pain control treatment
A patient is admitted to the emergency department with a potassium level of 8 mEq/L. The treatment for this problem may include:
1. giving the patient a potassium-sparing diuretic intravenously. 2. infusing glucose and insulin to promote the uptake of potassium by cells. 3. infusing an acid-base fluid to treat the alkalosis that will occur. 4. doing nothing because this is only slightly abnormal and requires no treatment.