A patient with polycystic ovary syndrome (PCOS) asks the nurse what she can do to improve her chances of getting pregnant. Which statement by the patient indicates a need for further teach-ing?
a. "Clomiphene will help induce ovulation but will not treat the other symptoms of polycystic ovarian disease."
b. "If I lose weight, my infertility and irre-gular periods could resolve without medi-cations."
c. "Metformin improves insulin sensitivity and reduces male hormone levels."
d. "Spironolactone, which reduces androgens and facial hair, is helpful if I'm trying to conceive."
D
Spironolactone is antiandrogenic; it can reduce hirsutism and acne, but it also can harm the fetus and should not be used in patients trying to conceive. Clomiphene helps induce ovulation but does not treat symptoms of PCOS. Patients who lose weight might experience a reversal of symptoms without medications, although weight loss may be difficult to achieve. Metformin re-duces serum insulin levels by increasing insulin sensitivity and indirectly lowers androgen levels.
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A nurse lawyer explains to attendees at a legal conference that when judges decide cases that involve disputes between people in part based on laws determined in previous court cases, this creates or expands the area of law known as __________ law
a. common b. contract c. private d. tort
A nurse concludes that a restless, agitated client is manifesting a fight- or-flight response. The nurse should associate this response with which neurotransmitter?
1. Acetylcholine2. Dopamine3. Serotonin4. Norepinephrine
A patient has been abusing barbiturates for a long time. The patient has just started a detoxification program. A nurse administers phenobarbital (Luminal) to the patient based on which of the following actions of the drug?
a. Because of cross-dependence, phenobarbital eases barbiturate withdrawal by suppressing symptoms of abstinence. b. Phenobarbital acts as an antagonist and counteracts adverse effects from long-term abuse. c. Phenobarbital is a benzodiazepine and still provides the patient with an elevated mood and "mock high." d. Phenobarbital reduces the psychotic symptoms associated with barbiturates and prevents respiratory depression.
When asked about his or her religious affiliation, a client responds, "That's personal; why do you want to know?" The most appropriate nursing response is:
1. "You need not answer my question if you prefer not to share that information." 2. "All information you provide will be kept in strict confidence." 3. "By knowing your religious preferences, I can best meet your spiritual needs." 4. "I did not mean to offend you; we ask that question of all our new admissions."