Concerning dysfunctional uterine bleeding (DUB), nurses should be aware that:
1. it is most commonly caused by anovulation.
2. it most often occurs in middle age.
3. the diagnosis of DUB should be the first considered for abnormal menstrual bleeding.
4. the most effective medical treatment involves steroids.
1
1. Correct. Anovulation may be from hypothalamic dysfunction or polycystic ovary syn-drome.
2. Incorrect. DUB most often occurs when the menstrual cycle is being established or when it draws to a close at menopause.
3. Incorrect. A DUB diagnosis is made only after all other causes of abnormal menstrual bleeding have been ruled out.
4. Incorrect. The most effective medical treatment is oral or intravenous estrogen.
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The nurse is performing a respiratory assessment of a patient who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?
A) An appropriate perfusion–diffusion ratio B) An adequate ventilation–perfusion ratio C) Adequate diffusion of gas in shunted blood D) Appropriate blood nitrogen concentration
A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions. When teaching this patient about the medication, the nurse will provide which instruction?
a. "Avoid driving or using heavy machinery." b. "Drink extra water while taking the medication." c. "Monitor urine output closely." d. "Take with an oral antihistamine for better effects."
A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds the client dressed to leave. Which action should the nurse take in this situation?
a. Call the physician and get his discharge paper signed. b. Warn the client that he may not be able to access health care again. c. Let the client go after signing a document stating he is going against medical advice. d. Restrain the client until his medical treatment is over.
Which safety device is most appropriate for the nurse who conducts home care visits to postpartum mothers?
1. Cellular phone 2. Map of the area 3. Personal handgun 4. Can of Mace