The nurse is conducting a health history interview on a female client. In order to best assess the client's endocrine system, the nurse asks:
1. "Is your menstrual cycle regularly every 28 days?"
2. "Do you have problems with indigestion?"
3. "Is there a history of cancer in your family?"
4. "Have you ever experienced difficulty breathing?"
"Is your menstrual cycle regularly every 28 days?"
Rationale: The client who has an irregular menstrual cycle might be experiencing an endocrine disorder such as increased androgen production or decreased estrogen levels. Gastrointestinal and respiratory function is not directly related to endocrine system functioning, and there is no known connection between a dysfunction of the endocrine system and cancer.
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You are caring for a patient on mechanical ventilation with 10 cm H2O of PEEP. The patient becomes suddenly dyspneic. The trachea is deviated toward the left and breath sounds are absent on the right. You suspect
A) atelectasis. B) tension pneumothorax. C) pulmonary edema. D) intubation of right mainstem bronchus.
In addition to factual data such as name, address, and diagnosis, which of the following information is crucial to the nurse when a referral is received?
a. The amount of reimbursement the agency will receive for a visit b. The family's reaction to the suggestion that a nurse visit in their home c. The purpose of the referral for a home visit d. The patient's agreement with the home visit referral
The nurse is caring for a client prescribed albuterol and understands that this agent is a/an:
a. beta-1 sympathomimetic agent. c. beta-adrenergic blocking agent. b. alpha-1 receptor antagonist. d. beta-2 adrenergic receptor agonist.
A 7-year-old child is to begin taking methylphenidate (Ritalin SR) twice daily. The nurse should teach the parents to monitor the child closely for which of the following side effects of methylphenidate?
a. Insomnia b. Lethargy c. Increased appetite d. Urticaria