A client is concerned about her irregular menstrual periods since she has increased her daily workouts at the gym to 2 hours each day. What is the nurses' best response?

a. "Do you want to talk about the need for that much exercise?"
b. "Exercise is healthy but can decrease body fat and cause irregular periods."
c. "Bingeing and purging can cause electrolyte problems in your body."
d. "Anorexic behavior can result in decreased estrogen levels."


ANS: B
There needs to be a certain level of body fat and weight to maintain regular menstrual cycles. The client has only indicated that she has increased her workouts. There is no indication that she has anorexic or bingeing and purging behaviors.

Nursing

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During the initial interview with a client, the nurse notices that the client changes the topic when the subject of the client's marital relationship is approached. The nurse is guided by the knowledge of which of the following?

1. Discussion of sensitive issues should only occur in the working phase. 2. Formulation of nursing diagnoses should be avoided until all essential data is obtained. 3. Information that is avoided or omitted is often more crucial than what is shared. 4. Avoidance of a topic is a sign of resistance that will disappear when initial anxiety is decreased.

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A healthcare provider practice associated with a multisystem healthcare organization uses paper documentation for patient notes and stores laboratory data in the electronic health record. What does this process exemplify?

A) Resistance to change B) Insufficient number of electronic devices C) Slow to use technology to its full potential D) Limited time to learn the electronic system

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While assessing a patient, the nurse notes an irregularity that has been observed in other patients, but on an inconsistent basis. This nurse has most likely discovered a(n):

1. Polymorphism. 2. Mutation. 3. Single-gene inheritance pattern. 4. X-linked inheritance pattern.

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A nurse is instructing parents on treatment of pediculosis (head lice). Which should the nurse include in the teaching plan? Select all that apply

a. Bedding should be washed in warm water and dried on a low setting. b. After treating the hair and scalp with a pediculicide, shampoo the hair with regular shampoo. c. Retreat the hair and scalp with a pediculicide in 7 to 10 days. d. Items that cannot be washed should be dry cleaned or sealed in plastic bags for 2 to 3 weeks. e. Combs and brushes should be boiled in water for at least 10 minutes.

Nursing