The client says that her menstrual cycles are usually 34 to 35 days long. She asks when she is most likely to be ovulating. What is the nurse's best response?
A. "Because your cycle is so long, you are probably not ovulating."
B. "Ovulation usually occurs 14 days after the beginning of menstruation, so you probably ovulate on day 14."
C. "Ovulation usually occurs 14 days before beginning the next menstrual cycle, so you probably ovulate on day 20 or 21."
D. "Ovulation cannot be predicted in any one person because of the number of per-sonal variables that interfere with this process."
C
The idealized menstrual cycle is 28 days; however, variations are normal. Ovulation occurs ap-proximately 14 days before the beginning of the next menstrual cycle. For a 28-day cycle, ovula-tion would be on day 14; for a shorter cycle, ovulation would occur earlier; for a longer cycle, ovulation would occur later.
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The psychiatric–mental health nurse is asked to prepare an educational conference for unlicensed staff working in a day treatment program for hyperactive children with borderline intelligence
Using fundamental concepts of cognitive behaviorist theory, which of the following conference exercises would the nurse include? 1. Have a contest to choose the best staff-designed time-out room where children can comfortably spend significant periods alone. 2. Include sessions for staff to practice talking with parents about the benefits of having their child transferred to an institutional setting where he or she would have access to highly trained experts. 3. Ask staff to work in teams to develop a token economy program that uses a prescribed daily routine and reinforcers for the children. 4. Show a brief movie that demonstrates the simplicity of using behavior modification.
The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents
Which of the following responses indicates a need for further teaching? A) "We should avoid aspirin and NSAIDs." B) "He can resume football practice in 2 weeks." C) "Swimming would be a great activity." D) "Our son cannot take any antihistamines."
The patient suffering from ventricular tachydysrhythmia may benefit from _________________ when medications are not effectively treating the disorder
Fill in the blank(s) with correct word
A patient with type 2 diabetes and heart failure who is prescribed metformin extended release (Glucophage XR) once daily now has muscle aches, drowsiness, low blood pressure, and a slow irregular heartbeat. What is your best action?
a. Assess the patient's blood glucose level and prepare to administer intravenous (IV) glucose. b. Assess the patient's blood glucose level and prepare to administer insulin. c. Hold the dose and notify the prescriber immediately. d. Administer the drug at bedtime to prevent falls.