Amenorrhea may be caused by all of the following except:
1. anatomic abnormalities.
2. type 1 diabetes mellitus.
3. lack of exercise.
4. hysterectomy.
3
1, 2, 4. Incorrect. These are all reasons that would potentially cause amenorrhea.
3. Correct. Lack of exercise is not a cause of amenorrhea. Strenuous exercise may cause ame-norrhea.
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A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes during the climac-teric signify which of the following?
a. A characteristic of young adulthood b. The increased reproductive ability of the older adult c. A time of significant change in cognitive performance in middle age d. A decline of reproductive capacity caused by a decrease in sexual hormones
What would a culturally competent nurse know that some cultural and ethnic groups feel that mental illness is caused by?
A) Demon possession B) Pretense C) The stars D) Hypnosis
Explanation: A) The increased rate at which normal epidermis is turned over increases in exfoliative dermatitis. Therefore, the exfoliated scales contain material that the skin normally retains (proteins, amino acids, and nucleic acids), and the result may be a negative nitrogen balance. The insensible fluid loss along with the nitrogen level should be monitored. B) Because the skin is
erythematous and scaly, self-image may be a problem, but it is not the issue that the nurse should first address. C) Exfoliative dermatitis can cause pruritus so, although comfort is an issue, it is not the first issue that the nurse should address. D) In exfoliative dermatitis, the skin sloughs, and widespread sloughing leads to abnormal thermoregulation, nutritional deficiencies, increased metabolic rate, and hypovolemia. Although nutritional deficiencies may occur, they are not the nurse's highest priority. A) Fluid volume deficit B) Self-image issues C) Comfort D) Altered nutrition
After the client begins taking the new medications, she develops periods of dizziness and confusion. The client's daughter calls to ask the nurse what she should do. The nurse's best response is:
a. "Don't worry. Confusion and dizziness are side effects of the new medications. Keep giving them. Your mother should get over the side effects soon." b. "Keep your mother in bed for a while after giving the medications so she doesn't fall and hurt herself." c. "Give the medications with food. The chance of side effects decreases when administered on a full stomach." d. "Call the health care provider as soon as possible to report these symptoms."