The nurse is teaching a class on menstruation to young girls. What information would be important for 10–12-year-olds to know about?

1. The age they will start having their periods
2. Variations in the age menstruation begins, length of the cycle, and duration of the menses
3. The number of days they will be ill when they have their menses
4. The number of days they will not be able to take part in physical education at school during their menses


2
Rationale 1: Age when starting varies anywhere from 10 to 16 years.
Rationale 2: These are the issues young girls like to know, as they always question whether they are different from their peers.
Rationale 3: Illness is not part of having a menstrual period.
Rationale 4: There is no reason they cannot take part in physical education at school.

Nursing

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Upon review of the history a patient ordered to receive vasopressin for bleeding esophageal varices, the nurse calls the physician to question the use of this medication when she reads that the patient has a history of:

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When discussing discipline with the mother of a 4-year-old child, which should the nurse include?

a. Parental control should be consistent. b. Withdrawal of love and approval is effective at this age. c. Children as young as 4 years rarely need to be disciplined. d. One should expect rules to be followed rigidly and unquestioningly.

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Which information given by a patient admitted with chronic stable angina will help the nurse confirm this diagnosis?

a. The patient states that the pain "wakes me up at night." b. The patient rates the pain at a level 3 to 5 (0 to 10 scale). c. The patient states that the pain has increased in frequency over the last week. d. The patient states that the pain "goes away" with one sublingual nitroglycerin tablet.

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Which pathway carries sensory information toward the central nervous system (CNS)?

a. Ascending b. Descending c. Somatic d. Efferent

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