A 56-year-old woman is concerned about having a moderate amount of vaginal bleeding after 4 years of menopause. The nurse will anticipate teaching the patient about

a. endometrial biopsy.
b. endometrial ablation.
c. uterine balloon therapy.
d. dilation and curettage (D&C).


ANS: A
A postmenopausal woman with vaginal bleeding should be evaluated for endometrial cancer, and endometrial biopsy is the primary test for endometrial cancer. D&C will be needed only if the biopsy does not provide sufficient information to make a diagnosis. Endometrial ablation and balloon therapy are used to treat menorrhagia, which is unlikely in this patient.

Nursing

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The nurse is reviewing flow chart entries for a client experiencing pain. Which chart entries represent subjective data?

1. The client's leg is red and swollen. 2. The client complains of leg tenderness. 3. The client's white blood cell count is 5.6. 4. The client demonstrates guarding behaviors during the assessment of the affected extremity. 5. The client complains leg cramps.

Nursing

A teacher administers an exam. The exam seemed relatively easy for the students, and the majority of the scores are at the high end of the scale, although several students received low scores. In statistical terms this represents what?

(Select all that apply.) a. Positive skew b. Negative skew c. Asymmetrical distribution d. Symmetrical distribution e. A normal curve f. A non-normal curve

Nursing

During the assessment of a postoperative patient's bowel sounds, the nurse auscultates absent sounds over all four abdominal quadrants. The nurse realizes this finding could indicate what health problem?

1. paralytic ileus 2. normal bowel function 3. the onset of flatus 4. the onset of stool

Nursing

For the seven-year-old child who is to receive a dose of digoxin and whose pulse rate is 88, the nurse would:

a. administer the child's dose of digoxin. c. withhold the dose of digoxin. b. notify the health care provider. d. prescribe a serum digoxin level.

Nursing