A nulliparous 53-year-old woman is in the clinic complaining of lower abdominal fullness, heavy menses, and severe menstrual cramping. What treatment does the nurse anticipate for this woman?
A.
Administration of leuprolide (Lupron)
B.
Hysterectomy and bilateral salpingo-oophorectomy
C.
None; issue will resolve spontaneously
D.
Surgical removal of the ovaries
ANS: A
These are symptoms of a uterine leiomyoma (fibroid). The medical treatment includes nonsteroidal anti-inflammatory drugs, oral contraceptives, and Lupron. Ovarian cysts often resolve spontaneously. For ovarian cancer, a complete hysterectomy with bilateral salpingo-oopherectomy is the procedure of choice. Because some of these symptoms are also seen in ovarian cancer, the nurse should be sure to assess the patient further.
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A circulating nurse provides care in a surgical department that has multiple surgeries scheduled for the day. The nurse should know to monitor which patient most closely during the intraoperative period because of the increased risk for hypothermia?
A) A 74-year-old woman with a low body mass index B) A 17-year-old boy with traumatic injuries C) A 45-year-old woman having an abdominal hysterectomy D) A 13-year-old girl undergoing craniofacial surgery
You are seeing a patient who is going to be married in a month. There is a history of Huntington disease in her family
The genetic testing has come back and the patient has just been told she carries the gene for Huntington disease and will develop the disease when she gets older. The patient asks you if this information is confidential and if it will remain that way. You explain to the patient that her family should be told and so should her fiancé. The patient forcefully tells you "no." She is not going to tell either her family or her fiancé. What is the nurse's best response? A) I am ethically bound to tell your family and your fiancé. B) Your information will remain confidential until the geneticist reviews everything. Then he will have to tell your family. C) Have you thought about what this disease will do to the person you are going to marry and any children you may have? D) I will respect your wishes and keep your information confidential. I do wish you would reconsider though.
Which of the following terms describes the nurse's finding that the angle between the nail and the nail bed of a child has been lost and the fingertips are wider and rounder?
a. moon nails c. notching b. angle nails d. clubbing
Examples of adaptive cellular responses include:
a. Atrophy b. Dysplasia c. Hypertrophy d. Hyperplasia e. Metaplasia