The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
a. Vaginal dryness
b. Need for a Papanicolaou test if none for 3 years
c. Bleeding from the vagina
d. Leakage of urine
ANS: C
Vaginal bleeding is not normal for the postmenopausal woman. Vaginal dryness and leakage of urine are common findings in adults of this age range. Pap tests may not be needed for women over 65 who have had regular cervical cancer testing with normal results.
You might also like to view...
When safely introducing new foods into an infant's diet, the parents should introduce one food at a time in a simple form. What period of time should they wait between introducing new foods so that allergic reactions can be easily identified?
A) 2 to 3 days B) 5 to 7 days C) 7 to 14 days D) 3 weeks
The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making. What might be seen in the planning step of the process?
a. Identifying the problem of the lack of ICU beds b. Organizing a meeting to address the problem c. Establishing an alternate site within the hospital for these patients d. Assigning experienced staff to implement care of these patients
A nurse is providing pain medication to patients after surgery. Which component is key for the nurse's personal philosophy of nursing?
a. Caring b. Technology c. Informatics d. Therapeutics
A client's surgical wound dehisced when a nurse mistakenly removed the staples before this had been ordered
The nurse is distraught, and acknowledges that she forgot to check the client's orders and assumed the client was on a later postoperative day than he actually was. Following root cause analysis, which organizational response is appropriate? Select all that apply. A) The nurse's actions will be categorized as being intentionally reckless. B) The nurse will be found to have committed a human error. C) Systems around the documentation of orders will be reviewed. D) The nurse will be disciplined by an impartial review board. E) The nurse's at-risk behavior will be weighed according to standards of practice.