The nurse is caring for a client diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?
1. "I am having many hot flashes since I had the Lupron injection."
2. "The pain I experience with intercourse is becoming more severe."
3. "My leg has become painful and swollen since I started taking birth control pills."
4. "I've noticed my voice is lower since I started taking danazol."
3
Rationale:
1. Leuprolide acetate (Lupron) is a GnRH agonist, and causes symptoms of a hypo-estrogenic state (hot flashes, vaginal dryness, decreased libido, and bone density loss). Hot flashes are expected, and not a complication.
2. Dyspareunia is a common symptom of endometriosis, and therefore is not a complication.
3. Combination oral contraceptive pills contain estrogen. A painful swollen lower extremity can be a sign of deep vein thrombosis, which can cause thromboembolus, which is potentially life threatening. This is a complication, and must be addressed immediately.
4. Danocrine (danazol) is a testosterone derivative that suppresses GnRH and has high-androgen and low-estrogen effects. A lowered voice is one side effect of danazol. This client is not experiencing a complication.
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A client states that he is "allergic" to poison ivy. Which statement by the client indicates a good understanding of this type of sensitivity?
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A patient has type 2 diabetes. The family reports the patient has become very forgetful. What response by the nurse is best?
a. "We should assess her for Alzheimer dis-ease." b. "Forgetfulness is a common sign in di-abetes." c. "Have her blood sugars been under good control?" d. "Does she recognize you and know your names?"
Using the _________________ method to solve for an unknown value, the equation can be written in
fractions or ratios. Fill in the blank(s) with correct word
Tetracyclines such as minocycline are safe to use in:
1. Pregnant women 2. Adolescents 3. Patients with renal dysfunction 4. Patients with hepatic dysfunction