The mother of a 16-year-old female reports that the teen began menstruating at age 14 but has stopped for about 5 months. Which response would be the highest priority for the nurse to make to this mother?
1. "That's normal for a 16-year-old. That happened to me when I was 16.".
2. "Does she have a boyfriend?"
3. "It's probably psychological.".
4. "Have you noticed any other changes in diet, activity, or weight loss?"
4
Rationale 1: The condition reported by the parent is not normal.
Rationale 2: It is not appropriate for the nurse to assume that the girl is sexually active. Having a boyfriend does not necessarily indicate sexual activity.
Rationale 3: The nurse has no basis for this statement without further assessment.
Rationale 4: Secondary amenorrhea, which is the absence of menses for at least 3 months in a previously menstruating female, may be caused by anorexia nervosa, excessive athletic activity or training, or a large weight loss. Other causes include hormonal imbalances and ovarian tumors. Pregnancy is also a cause of secondary amenorrhea but should not be the first assumption.
You might also like to view...
While providing care in an obstetric setting, the nurse should understand that postpartum care of the woman with cardiac disease
a. Is the same as that for any pregnant woman b. Includes rest, stool softeners, and monitoring of the effect of activity c. Includes ambulating frequently alternating with active range of motion d. Includes limiting visits with the infant to once per day
When a client has a laceration of the skin, which of these must be initiated after the nurse cleanses the wound?
a. application of pressure dressing b. administration of pain medication c. prophylactic administration of antibiotics d. suturing of laceration
A staff nurse from the next shift is ill and cannot work, leaving the unit short. With only one hour remaining until the next shift starts, the charge nurse asks if anyone currently working would commit to staying for four additional hours
The charge nurse expects that which nurse will be most likely to agree to stay? 1. The millennial nurse 2. The generation X nurse 3. The baby boomer nurse 4. The veteran nurse
The nurse is instructing a client with breast cancer who will be undergoing chemotherapy about side effects of doxorubicin (Adriamycin). Which side effect will the nurse instruct the client to report to the physician?
A. Diaphoresis B. Dysphagia C. Edema D. Hearing loss