The nurse is checking lab work on a client's record. The client's FSH and LH levels are low. The nurse suspects this client may have health problems related to:
1. growth and development.
2. nutrition and metabolism.
3. the reproductive system.
4. the renal system.
Correct Answer: 3
Rationale 1: Follicular-stimulating hormone and luteinizing hormone do not impact growth and development.
Rationale 2: Follicular-stimulating hormone and luteinizing hormone do not impact nutrition and metabolism.
Rationale 3: Follicular-stimulating hormone and luteinizing hormone target the gonads, which are part of the reproductive system.
Rationale 4: Follicular-stimulating hormone and luteinizing hormone do not impact the renal system.
Global Rationale: Follicular-stimulating hormone and luteinizing hormone target the gonads, which are part of the reproductive system. These hormones do not directly affect growth and development, nutrition and metabolism, or the renal system.
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The physician orders a nasogastric (NG) tube for the client with pancreatitis. The nurse explains that the purpose of the tube is:
1. control of fluid and electrolyte balance. 2. removal of irritants. 3. relief from nausea and vomiting. 4. reduction of pancreatic secretions.
A client has been managed on chlorpromazine (Thorazine) for some time for schizophrenia. The nurse assesses the client prior to administering the medication and notes the client's lip smacking, blinking, and tongue protrusion
The initial action by the nurse would be to: 1. give the medication. 2. call a code. 3. hold the medication and notify the physician. 4. notify the charge nurse.
The nurse understands the most significant laboratory study for the client who is HIV positive is the
a. CD4+ cell count. b. enzyme-linked immunosorbent assay (ELISA) test. c. total white blood cell count. d. Western blot test.
Which of the following is true of the NANDA label?
1. Must contain three components 2. Describes the health problem for which nursing therapy is given 3. Helps define medial diagnoses for nursing 4. Promotes a taxonomy of nursing 5. It contains the defining characteristics of the problem