The nurse is caring for a patient with a tentative diagnosis of polycystic ovarian syndrome (PCOS). When reviewing the patient's health history, which finding supports this diagnosis?
a. Cold intolerance
b. Significant weight loss
c. Menstrual periods every 33 days
d. Elevated serum glucose levels
D
PCOS is a congenital condition in which many cysts develop on one or both ovaries and produce excess estrogen. High levels of testosterone and luteinizing hormone (LH) and low levels of fol-licle-stimulating hormone (FSH) occur. A manifestation of PCOS includes problems with glucose tolerance, which would result in elevated serum glucose levels. Other signs and symptoms include excessive body hair (hirsuitism), irregular menstruation, and infertility. Cold intolerance could be indicative of hypothyroidism, anemia, Raynaud syndrome, or other underlying medical issues.
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The nurse working on the postpartum unit is caring for a woman who is three days postpartum
The client says, "If I would have known my breasts were going to get this full and painful if I breastfed, I would have made a different decision about how to feed the baby." The nurse's best response is: 1. "Oh well, it's too late to change your mind now." 2. "This happens to all new mothers, whether they breastfeed or not." 3. ""It's not too late to change your mind and bottle-feed the baby." 4. "You are experiencing engorgement, and there's nothing you can do until it subsides."
An obese patient states, "My goal is to reduce my weight from 280 pounds to 230 pounds in the first 6 months." The nurse should respond with which statement?
a. "That is a realistic goal for your weight-reduction program." b. "Because most weight loss occurs in the first 6 months, you should aim for 200 pounds." c. "Weight loss of more than 20 pounds in 6 months could be dangerous." d. "Safe and maintainable weight loss should be about 10% of your body weight in 6 months."
The nurse is sitting with a patient in labor who practices meditation. The nurse understands from this that:
1. The patient is very religious, and is practicing her religion. 2. The patient tries to let all thoughts fade away and listen receptively in a state of not knowing. 3. The patient is in a state of intense, focused concentration used to create compelling mental images. 4. The patient relaxes and focuses on a positive or soothing scene.
The independent variable is treatment group. The dependent variable is an infants' length of stay in the hospital after birth. What is the appropriate statistical test?
A) t-test B) ANOVA C) Correlation coefficient D) Mann Whitney U test