A patient who has endometriosis has been unable to conceive. She asks the nurse about medications to treat the condition. What will the nurse tell the patient?
a. Combination oral contraceptives are ef-fective for improving fertility.
b. Gonadotropin-releasing hormone agonists are used for long-term treatment.
c. Nonsteroidal anti-inflammatory drugs are second-line agents for treating pain.
d. Pharmacologic agents used to treat endo-metriosis do not enhance fertility.
D
Surgery reduces symptoms of endometriosis and improves fertility; drugs used to treat endome-triosis only reduce discomfort. Combination oral contraceptives only treat symptoms; they do not improve fertility. Gonadotropin-releasing hormone agonists cannot be used long term because of side effects of osteoporosis and hot flashes. Nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line agents for endometriosis pain.
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A nurse is gathering objective data when admitting a patient. Which assessment finding is considered objective? The patient:
a. complains of nausea. b. states, "I hurt all over." c. complains of feeling anxious. d. appears to be anxious.
With the adoption of the electronic health record and importance of technology, there is a need for nurses with technology experience. What are the two ways nurses can specialize in informatics?
1. Complete a BSN 2. RN with experience as a super user 3. A nurse with a graduate degree in informatics 4. Operating room nurse who is on the technology committee 5. A BSN nurse who completes a certificate in web based design
When a patient is receiving cisplatin (Platinol-AQ) chemotherapy, the nurse will monitor for which adverse effects?
(Select all that apply.) a. Tinnitus b. Heart failure c. Hearing loss d. Elevated blood urea nitrogen and creatinine levels e. Numbness or tingling in the extremities f. Elevated glucose and ketone levels
The elderly client receives diphenhydramine (Benadryl) for allergies. The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
1. "Drowsiness is common but should lessen within a few doses." 2. "If this medication makes my nose run, I can use a nasal spray." 3. "I need to watch my intake of sodium with this medication." 4. "I cannot take this medication with pseudoephedrine (Sudafed)."