Which of the following statements is true about primary dysmenorrhea?
a. It occurs in young multiparous women.
b. It is experienced by all women.
c. It may be due to excessive endometrial prostaglandin.
d. It is unaffected by oral contraceptives.
C
Some women produce excessive endometrial prostaglandin during the luteal phase of the menstrual cycle. Prostaglandin diffuses into endometrial tissue and causes uterine cramping.
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The nurse is conducting a physical examination of a child with suspected developmental dysplasia of the hip. Which of the following findings would help confirm this diagnosis?
A) Abduction occurs to 75 degrees and adduction to within 30 degrees (with stable pelvis). B) A distinct "clunk" is heard with Barlow and Ortolani maneuvers. C) A high-pitched "click" is heard with hip flexion or extension. D) The thigh and gluteal folds are symmetric.
The nurse is providing care to a client who is newly diagnosed with human immunodeficiency virus (HIV). Which statements by the nurse could inhibit the development of a therapeutic communication with this client?
Select all that apply. A) "I am so happy today! I found out that I got accepted into nurse practitioner school, isn't that great?" B) "Well, I guess your homosexual lifestyle finally caught up to you, huh?" C) "One of my cousins has AIDS. It is hard to watch him die." D) "Tell me your feelings about the diagnosis." E) "Perhaps you would like to talk about the new medications that you have been prescribed?"
The family of an older client asks if the client is at risk for developing dementia. What information should the nurse ask the family?
1. If there is a family history of the disease. 2. Can the client remember what was served for dinner last night. 3. If the client keeps forgetting where the keys are 4. If the client remembered today's appointment
Which of the following principles are applicable when prescribing drugs for the older adult? Se-lect all that apply
a. Start low and go slow. b. Start with one drug, add two if needed, and stop with three if possible. c. Use a drug interactions database to identify possible problems. d. When adverse effects occur, determine if the intended therapeutic value out-weighs the problematic symptoms. e. Assess the patient's response frequently. f. Consider drug holidays from time to time.