A 48-year-old woman reports to the nurse about new "flooding" with her periods. Which other complaint is the nurse prepared to investigate more thoroughly?
a. Hot flashes and sweating episodes
b. Fatigue during typical activity
c. More frequent periods than usual
d. Abdominal cramping with periods
B
A description of "flooding" during the menstrual cycle indicates heavy bleeding, which may be due to dysfunctional uterine bleeding (DUB). DUB usually occurs at the beginning or at the end of a woman's reproductive years. Because this woman is 48, she might be entering the perime-nopausal period. Fatigue during usual activities can indicate anemia. Hot flashes with sweating are a manifestation of menopause. More frequent menstrual bleeding also occurs in DUB. Ab-dominal cramping may be normal for this client.
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The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any "bad side effects" that she should be aware of
Which of the following statements should underlie the nurse's response? A) Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food. B) The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin. C) The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment. D) Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects.
A client has been ordered to undergo a step test. Which of the following arrangements is of greatest importance during a step test?
A) Reduce the height of the step test machine platform. B) Make arrangements for a metronome and a stopwatch. C) Shorten the test time when the client's heart rate is rapid. D) Make provisions for possible cardiopulmonary resuscitation.
Pre-nursing students in an anatomy and physiology class are learning about the skin and its functions. Where would the students learn that the stem cells are contained that reproduce skin?
functions. Where would the students learn that the stem cells are contained that reproduce skin? A) Epidermis B) Dermis C) Subcutaneous tissue D) Bulge on the side of a hair follicle
An Asian-American client explains to the nurse that eating two specific foods will restore the balance of hot and cold and she will be cured. The nurse should:
1. Explain that foods cannot cure mental disorders 2. Arrange for the client to talk with the dietitian 3. Change the subject to focus on medication compliance 4. Reflect that cultural beliefs about illness die slowly