The nurse is doing an initial assessment on a patient newly admitted to your unit. The patient is a 25-year-old female admitted with a diagnosis of pneumonia. The nurse notes that this patient has hair on the lower abdomen
When asked, the patient states that her menses are irregular. What should the nurse suspect the patient might have?
A) Too much estrogen
B) Not enough testosterone
C) A hormonal imbalance
D) A pituitary tumor
Ans: C
Feedback: Some women with higher levels of testosterone have hair in the areas generally thought of as masculine, such as the face, chest, and lower abdomen. This is often a normal genetic variation, but if it appears along with irregular menses and weight changes, it may indicate a hormonal imbalance. Nothing in this scenario indicates the possibility of a pituitary tumor.
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Which intervention is appropriate to assist the patient to cope with admission to the critical care unit?
a. Allowing unrestricted visiting by several family members at one time b. Explaining all procedures in easy-to-understand terms c. Providing back massage and mouth care d. Turning down the alarm volume on the cardiac monitor
The nurse is caring for a patient who is on a cardiac monitor. The nurse realizes that the sinus node is the pacemaker of the heart because it is:
a. the fastest pacemaker cell in the heart. b. the only pacemaker cell in the heart. c. the only cell that does not affect the cardiac cycle. d. located in the left side of the heart.
A nurse is caring for a patient with esophageal surgery who has had stents placed in the esophagus and instructs the patient how best to avoid regurgitation. What should the nurse in-clude in this instruction?
a. Keep the bed flat. b. Eat only small meals. c. Lie on the right side after meals. d. Drink 3 glasses of fluid with each meal.
During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?
a. Impaired cognition b. Occupational exposure c. Physical agility d. Temperature extremes