Which client should the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

1. 17-year-old, has never had a menstrual cycle
2. 19-year-old, regular menses for 5 years that have suddenly become painful
3. 14-year-old, irregular menses for 1 year, experiences cramping every cycle
4. 16-year-old, had regular menses for 4 years, but has had no menses in 4 months


3
Explanation:
1. This is primary amenorrhea, or the lack of menses.
2. Secondary dysmenorrhea is the sudden onset of pain and discomfort with menses.
3. Primary dysmenorrhea is when menstruation has been painful from the first menstrual cycle and consistently continues to be painful each month.
4. Secondary amenorrhea is the term used when a client has had regular cycles that cease.

Nursing

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Lindsay is a nursing student who is preparing to perform morning hygiene for Mrs. Chen, a resident of a long-term care facility who has a significant vision impairment. Before beginning to wash Mrs. Chen, Lindsay should

A) give Mrs. Chen a chance to feel the cloths and towel that will be used. B) explain who she is and what she is going to do. C) clearly and loudly ask Mrs. Chen if she would like a wash. D) assess Mrs. Chen's orientation and cognition.

Nursing

The nurse is completing discharge teaching for a patient who delivered 2 days ago. Which statement by the patient indicates that further information is required?

1. "Because I have a midline episiotomy, I should keep my perineum clean." 2. "Soaking in the tub will help my mediolateral episiotomy to heal." 3. "I can take ibuprofen (Motrin) when my perineum starts to hurt." 4. "The tear I have through my rectum is unrelated to my episiotomy."

Nursing

A patient does not have a catheter. Which is correct?

a. The person needs to void before the nurse gives pre-operative drugs. b. The person needs to void after the nurse gives pre-operative drugs. c. A catheter is inserted before the nurse gives pre-operative drugs. d. A catheter is inserted after the nurse gives pre-operative drugs.

Nursing

During stage 3 sleep, the patient may experience

A) Enuresis B) Anxiety C) Diaphoresis D) Shortness of breath

Nursing