Which of the following laboratory values would the nurse anticipate might occur in a patient with galactorrhea?
A) Decreased TSH levels
B) Elevated estradiol levels
C) Elevated serum gonadotropin levels
D) Elevated prolactin levels
D) Elevated prolactin levels
Explanation: A) Primary hypothyroidism as a cause of galactorrhea is ruled out by an elevated serum level of TSH.
B) Serum gonadotropin and estradiol levels are either low or in the normal range in women with hyperprolactinemia.
C) Serum gonadotropin and estradiol levels are either low or in the normal range in women with hyperprolactinemia.
D) Elevated levels of prolactin, typically greater than five times the normal range, indicate a prolactin-secreting pituitary tumor.
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When the nurse ignores the presence of the patient, regardless of the patient's alertness, the nurse is contributing to the patient's
A) physiological coping. B) fear of dying. C) spiritual distress. D) sense of isolation.
The director of quality improvement reports that the hospital will soon be using "dashboards" as part of the quality management process. How should the staff interpret this information?
1. Surveyors are driving to clients' homes to collect data on hospital visits. 2. This electronic tool makes it easy to aggregate and display data. 3. "Dashboard" is an acronym for the topics covered in client satisfaction surveys. 4. The "dashboard" is a screen on the electronic medical record that can be accessed for quality improvement information.
To auscultate breath sounds in the right middle lobe from the anterior aspect, the nurse would place the diaphragm of the stethoscope at the:
1. second intercostal space. 2. third intercostal space. 3. fourth intercostal space. 4. fifth intercostal space.
The priority nursing diagnosis for the client who has been diagnosed with glaucoma and is using medications to reduce the intraocular pressure is which of the following?
A. Risk for Injury related to decreased visual acuity B. Disturbed Body Image related to corrective lenses C. Altered tissue perfusion related to deficient knowledge of medication use D. Risk for Social Isolation related to decreased visual acuity