While interviewing a 31-year-old woman before her routine gynecologic examination, the nurse collects data about her recent menstrual cycles. The nurse should collect additional in-formation about which of these areas?
1. Her menstrual flow lasts 5 to 6 days.
2. She describes her flow as very heavy.
3. She reports a small amount of spotting midway between her periods for the past 2 months.
4. The length of her menstrual cycle varies from 26 to 29 days.
2
1. Incorrect. This is a normal finding.
2. Correct. Menorrhagia is defined as excessive menstrual bleeding, in either duration or amount. There are many causes of heavy bleeding. The amount of bleeding and its effect on daily activities should be evaluated.
3. Incorrect. Mittlestaining, a small amount of bleeding or spotting that occurs at the time of ovulation (14 days before onset of the next menses), is considered normal.
4. Incorrect. During her reproductive years, a woman may have physiologic variations in her menstrual cycle. Variations in the length of a menstrual cycle are considered normal.
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The Shared Governance committee is tasked with creating an approach to introduce Just Culture to the nursing staff. When creating the materials, which duties should be emphasized? (Select all that apply.)
1. Report errors 2. Support autonomy 3. Avoid risk or harm 4. Follow procedures 5. Produce an outcome
On the fourth day postpartum, a woman develops breast engorgement. Which of the following measures would be best to recommend to her as a means of alleviating this problem?
A) Discontinuing breastfeeding for 24 hours B) Decreasing her fluid intake to below 500 mL per 24 hours C) Encouraging her to continue regular breastfeeding D) Having her apply lanolin cream to each breast
When teaching a client taking clozapine, the nurse should include:
a. restrict your fluid intake. c. avoid sunscreen products. b. increase your exercise level. d. avoid direct sunlight.
The nurse suggests that the progression of introduction of solid foods should be:
a. Cereal, fruits, vegetables, and meat b. Meat, cereal, vegetables, and fruit c. Fruit, vegetables, cereal, and meat d. Vegetables, fruit, cereal, and meat