A 32-year-old female reports normal monthly menstrual periods but complains of having trouble with conception. It is important to ask about history of:
A. Dysmenorrhea
B. Sexually transmitted disease (STD)
C. Menorrhagia
D. Pap smears
ANS: B
Infertility may be caused by anovulation, decreased function of the corpus luteum, or blocked or scarred fallopian tubes. Any of these can occur despite the fact that the patient may be having menstrual cycles. A history of menstrual irregularities may suggest anovulation or thyroid disease, either of which can cause infertility. A history of STDs could lead to scarring of the fallopian tubes, which can cause infertility.
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The best indication that a conflict is resolved is when:
A. Everyone falls silent. B. The group that was correct is the winner. C. Issues remain a concern. D. Everyone is satisfied with the solution.
Corneal epithelial breakdown in the coma patient is prevented by instillation of saline or methylcellulose lubricating eyedrops every
a. 2 hours. c. 8 hours. b. 4 hours. d. 12 hours.
Which professional organization poses a conflict in loyalty for some nurses?
A) OSHA B) Equal Employment Opportunity Commission C) Service Employees International Union D) American Nurses Association
The prenatal clinic nurse is caring for a patient with hyperemesis gravidarum at 14 weeks' gestation. The vital signs are: blood pressure 95/48, pulse 114, respirations 24. Which order should the nurse implement first?
1. Weigh the patient. 2. Give 1 liter of lactated Ringer's solution IV. 3. Administer 30 ml Maalox (magnesium hydroxide) orally. 4. Encourage clear liquids orally.