A 35-year-old female client has been diagnosed with a deficiency of most anterior pituitary hormones. Which fact reported in her history should the nurse explore further with regard to her pituitary problem?
A. The client's mother and sister have adult-onset diabetes mellitus.
B. The client experienced a postpartum hemorrhage 5 years ago.
C. The client has a severe allergy to shellfish and iodine.
D. The client has used oral contraceptives for 5 years.
B
Postpartum hemorrhage is the most common cause of pituitary infarction. With this injury to the pituitary gland, secretion of more than one hormone is deficient. The condition may develop immediately postpartum or years after the delivery.
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The nurse instructing a patient in deep breathing and coughing directs the patient to (place the options in the appropriate sequence):
1. place the hand on the abdomen to check rise and fall. 2. inhale through the nose, pause 1 to 3 seconds, and then exhale. 3. assume a high Fowler's position. 4. take 4 to 6 deep breaths. 5. cough deeply.
The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk. The most appropriate initial question is which of the following?
a. "How do you get to the store to buy your food?" b. "Can you tell me the food that you ate yesterday?" c. "Do you have any difficulty in preparing or eating food?" d. "Are you taking any medications that alter your taste for food?"
A recent nursing graduate has sought out the nursing educator to propose a program that would predict which depressed clients are most likely to attempt suicide. How should the educator best respond to the nurse's proposal?
A) "There are already assessment tools in place that can predict suicide attempts quite accurately." B) "Suicide is actually just as common among clients with nondepressive mental health disorders as it is among depressed clients." C) "It's unethical to try to focus on one particular client's suicide risk more than another client's." D) "Among clients with depression, it's impossible to accurately predict an individual's suicide risk."
After completing an assessment the nurse asks the client questions about stress. What observations caused the nurse to focus on this area of the client's health? Select all that apply
1. Hives 2. Neck ache 3. Blurred vision 4. Excessive thirst 5. Heart palpitations