In order to perform interventions or prescribe medication for the female patient, it is most important to obtain a complete health history. Which of the following is the most important question to ask female patients?
A. Age at menarche
B. Age at menopause
C. Last menstrual period
D. Number of pregnancies
ANS: C
Last menstrual period is one of the most important questions to ask, particularly when prescribing medications, because many are contraindicated in pregnancy. If menstrual cycles are not regular, pregnancy should be ruled out first, and then other diagnoses can be considered.
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A patient taking warfarin (Coumadin) has just begun chemotherapy. The patient comes to the clinic for a follow-up appointment and complains of blood in her urine. The nurse's most imme-diate action should be to
a. advise the patient that this is normal with this type of drugs. b. check the platelet count for thrombocytopenia. c. advise the patient that she will need to skip the next round of chemotherapy. d. administer epoetin (Epogen) subcutaneously.
The nurse is treating a skin tear on an older patient's lower leg. Which dietary selection contains ingredients that will be most favorable to wound healing for this patient?
1. Cereal, milk, and toast 2. Bacon, toast, and coffee 3. Eggs, toast, and orange juice 4. Ham slices, milk, and applesauce
Because a client is receiving antispasmodics for bladder spasms, the nurse should be sure that the client
a. increases fluid intake. b. is assessed frequently for bleeding. c. receives stool softeners. d. remains on bed rest.
The visualization of a large proportion of clue cells on your wet mount slide examination suggests:
a. trichomonal infection. b. bacterial vaginosis. c. candidiasis. d. gonorrhea.