The nurse is caring for a patient with a tentative diagnosis of polycystic ovarian syndrome. When reviewing the patient's health history, which finding will provide support for the diagnosis?
a. Female pattern baldness
b. Significant weight loss
c. Menstrual periods every 33 days
d. Elevations in serum glucose
D
Polycystic ovarian syndrome is a congenital condition in which many cysts develop on one or both ovaries and produce excess estrogen. High levels of testosterone and luteinizing hormone (LH) and low levels of follicle-stimulating hormone (FSH) occur. Signs and symptoms include irregular menstruation, infertility, hyperinsulinemia, and glucose tolerance problems. Excessive hair on the body (hirsutism) is common.
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A client, being transferred from the operating room after major heart surgery, is intubated. When would the nurse expect the client to be extubated?
a. In the operating room b. In the PACU within the first 3 or 4 hours c. The first postoperative day d. Three or four days after surgery
A patient with type 1 diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol [Lopressor]. What education should the nurse provide to the pa-tient?
a. "Metoprolol has no effect on diabetes mellitus or on your insulin requirements." b. "Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose." c. "Metoprolol may mask signs of hypogly-cemia, so you need to monitor your blood glucose closely." d. "Metoprolol may potentiate the effects of the insulin, so the dose should be re-duced."
Inflammation of the prostate, termed ________, is a disease of older men, and is the most common urinary tract infection.
Fill in the blank(s) with the appropriate word(s).
The nurse is caring for a client with dark-colored toe ulcers and blood pressure of 190/100. Which of these nursing actions should you delegate to the LPN/LVN?
A. Assess leg ulcers for evidence of infection. B. Administer a clonidine patch for hypertension. C. Obtain a request from the doctor for a dietary consult. D. Develop a plan for discharge, and assess home care needs.