Compare and contrast anovulatory bleeding versus dysfunctional uterine bleeding
What will be an ideal response?
Anovulatory bleeding is a type of dysfunctional uterine bleeding that typically occurs during the extremes of reproductive life, puberty and near menopause. It is a type of bleeding resulting from an abnormality in the proliferative-secretory sequence in the uterus characterized by continuous estrogen stimulation that is unopposed by progesterone. Without progesterone, which is produced by the corpus luteum following ovulation, the uterus does not undergo a secretory phase and but is subject to continuous shedding from the effect of estrogen.
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A client comes into the health clinic asking for advice on lowering the individual's risk of heart disease. The nurse's best response is to:
1. Conduct a health history and physical exam to determine the client's area of risks and then educate the client based upon these findings. 2. Discuss the client's perceived area of health risks. 3. Determine the client's risks based upon a prior chart for the client. 4. Conduct a physical exam of the client and discuss the findings.
A patient at 32 weeks' gestation is admitted with painless vaginal bleeding. Placenta previa has been confirmed by ultrasound
What should be included in the nursing plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. No vaginal exams 2. Encouraging activity 3. No intravenous access until labor begins 4. Evaluating fetal heart rate with an external monitor 5. Monitoring blood loss, pain, and uterine contractility
The nurse is planning on providing primary intervention education for patients at risk for suicide. Which action will the nurse take?
1. Teaching first responders the signs of increased risk for suicide 2. Teaching a group of parents about the signs of suicidal gestures 3. Teaching a patient about re-establishing a healthy sense of self 4. Teaching community members about resources available to prevent a suicide attempt
A nurse gives an incorrect medication to a patient without doing all of the mandatory checks, but the patient has no ill effects from the medication. What actions should the nurse take after reassessing the patient? (Select all that apply.)
a. Notify the health care provider of the situation. b. Document in the patient's medical record that an occurrence report was filed. c. Document in the patient's medical record why the omission occurred. d. Discuss what happened with all of the other nurses and staff on the unit. e. Continue to monitor the patient for any untoward effects from the medication. f. Send an occurrence report to risk management after completing it.