The nurse teaching the phases of the menstrual cycle should include the fact that the corpus luteum begins to degenerate, estrogen and progesterone levels fall, and the blood supply to the endometrium is reduced in which phase?
1. Menstrual phase
2. Proliferative phase
3. Secretory phase
4. Ischemic phase
4
Rationale 1: The menstrual phase is the menses.
Rationale 2: The proliferative phase is characterized by proliferation of the endometrium and estrogen reaching its highest peak.
Rationale 3: In the secretory phase, estrogen drops sharply, and progesterone dominates; vascularity of the entire uterus increases; and tissue glycogen increases, making the uterus ready for implantation.
Rationale 4: In the ischemic phase, the corpus luteum begins to degenerate, and as a result, both estrogen and progesterone levels fall. Small blood vessels rupture, and the spiral arteries constrict and retract, causing a deficiency of blood in the endometrium, which becomes pale.
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The body's fluid and electrolyte balance is maintained partially by hormonal regulation. The nurse conveys an understanding of this mechanism in which statement?
a. "The pituitary gland secretes aldosterone." b. "The kidney secretes antidiuretic hor-mone." c. "The adrenal cortex secretes antidiuretic hormone." d. "The pituitary gland secretes antidiuretic hormone."
A client at a community skin screening has numerous skin lesions. Which one does the nurse evaluate first?
a. Beige freckles on the backs of both hands b. Irregular blue mole with white specks on the lower leg c. Large cluster of pustules in the right axilla d. Raised, tubular, white areas on the inner aspects of the wrists
When preparing to complete a competency exam involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of:
a. those steps that result in life or death of a client. b. required criteria that must be incorporated into the assessment for the desired outcome. c. fundamental strategies unique to complex dynamic care environments. d. objective data that can be used to determine the likelihood that the client will recover.
Parish nursing is a concept that began in the 1960s. What is the purpose of parish nursing?
1. A nurse to function as health counselor, educator, and advocate for a group of people who worship together 2. To provide members of a congregation access to registered nurses 3. The primary care provider for a church group 4. A nurse of the same religion who can practice nursing that conforms to religious practices and rules