The nurse is interviewing an adolescent patient. The patient reports a weight loss of 50 pounds over the last 4 months, and reports running at least 5 miles per day. The patient asserts that her menarche was 5 years ago
Her menses are usually every 28 days, but her last menstrual period was 4 months ago. The patient denies any sexual activity. Which statement is best for the nurse to make? 1. "Your lack of menses might be related to your rapid weight loss."
2. "It is common and normal for runners to stop having any menses."
3. "Increase your intake of iron-rich foods to re-establish menses."
4. "Adolescents rarely have regular menses, even if they used to be regular."
1
Rationale 1: Secondary amenorrhea can be caused by rapid weight loss, including the development of the eating disorders anorexia and bulimia. Runners with low body fat might have irregular menses, but amenorrhea is not a normal condition.
Rationale 2: It is common for runners to have amenorrhea, but it is not normal.
Rationale 3: Iron deficiency does not impact menstrual regularity.
Rationale 4: Although the first year or two after menarche might be characterized by irregular menses, once menses are established and regular, a lack of menses is secondary amenorrhea.
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The client has no spontaneous respirations, pupils are dilated and not responsive to light, EEG is flat, and the client has no reflexes. The client cannot be aroused, and has no response to stimulation. There has been no change in the client's condition for the past three days, and he is not receiving a controlled substance. The nurse recognizes that this client is: 1. Comatose. 2. In a vegetative state. 3. Brain-dead. 4. Obtunded.
Leadership abilities are required for the nurse coordinating care
Indicate whether the statement is true or false
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a. cluster care to allow rest periods for pt b. obtain a dietary consult to plan an adequate nutritional diet c. monitor urine output with accurate intake and output amounts d. assess for s/s of fluid volume overload
The words are the most remembered part of a verbal message.
Answer the following statement true (T) or false (F)