The nurse observes hirsutism in a female client. What does the nurse do next?
a. Assess for deepening of the voice.
b. Assess personal hygiene habits.
c. Document the finding.
d. Prepare the client for a biopsy.
A
Increased hair growth on the face and chest of a female client (hirsutism) is one manifestation of hormonal imbalance. The nurse looks for additional associated changes in fat distribution and capillary fragility (Cushing's syndrome) or clitoral enlargement and deepening of the voice (possible ovarian dysfunction). The other options are not related to this condition.
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Abused substances are those chemicals that alter the person's perception by affecting the
1. central nervous system. 2. autonomic nervous system. 3. cardiorespiratory system. 4. peripheral nervous system.
How would the nurse identify rheumatoid nodules in a client with rheumatoid arthritis?
A) The nodules usually are tender and red. B) The nodules usually are nontender and movable. C) The nodules usually are red and movable. D) The nodules are miniscule and occur over nonbony areas.
Which item would not be included by a nurse when using the family APGAR tool as an assessment measure of family roles and relationships? (Select all that apply.)
a. Nurturing b. Decision making c. Recreational activities d. Emotional experiences e. Allocation of earned income
A 52-year-old client is admitted to the hospital for surgery to treat lung cancer. The client says to the nurse, "I was an alcoholic for 15 years, and now that I'm 25 years sober, I'm being punished." Which statement by the nurse would be therapeutic?
A. "You started drinking at 12 years of age — is that why you feel that the cancer is retribution?" B. "Because you seem to be blaming yourself unnecessarily, perhaps we can talk about your illness and what you can expect after surgery." C. "Sounds like you feel that you're being punished for your drinking, yet you've been sober, so perhaps you're being rewarded by having a cancer that's curable." D. "You feel that you're being punished even though you've been sober for 25 years. Your doctor must have told you that the cancer is unrelated to alcohol."