A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:

a. "You are probably right. You should remind your doctor of your symptoms every time you visit."
b. "Since you feel certain you are right, you should just treat yourself with over-the-counter medications."
c. "Men are not usually sympathetic to PMS sufferers."
d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."


D
Assessment of symptom charting from at least 3 months is necessary to make an accurate diagnosis of PMS.
This will not assist in making a diagnosis. Listing symptoms for 3 months will help the phy-sician better assess the diagnosis.
This is inappropriate.
This is inaccurate and will not help the client with the present problem.

Nursing

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The nurse is preparing a care plan for a patient admitted with syndrome of inappropriate antidiuretic hormone secretion (SIADH). The priority nursing diagnosis for a patient with this condition is:

A) Deficient fluid volume B) Excessive fluid volume C) Hypothermia D) Hyperthermia

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The nurse manager is teaching the staff nurses in the emergency department about violence in health care settings. What information will the nurse include when teaching about hospital risk factors that increase risk of violence? Select all that apply

1. High census levels 2. Low staffing levels 3. Characteristics of staff 4. Characteristics of services delivered 5. Waiting times for services delivered

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A patient has been prescribed ursodeoxycholic acid (UDCA). The nurse understands that additional teaching is needed regarding this medication when the patient states:

A) "It is important that I see my physician for scheduled follow-up appointments while taking this medication." B) "I will take this medication for 2 weeks and then gradually stop taking it." C) "If I lose weight, the dose of the medication may change." D) "This medication will help dissolve small gallstones made of cholesterol."

Nursing

A patient is brought to the hospital after being found on the floor at the bottom of a flight of stairs. The patient has an obvious depressed skull fracture and is bleeding from her right ear. Initially, the nurse assesses the patency of the patient's airway, her breathing, and the rate and rhythm of her pulse. What assessments and questions will be part of the nurse's secondary survey?

1. "How did the injury occur?" 2. "What care was provided at the site of the injury?" 3. "Has anything like this ever happened before?" 4. Blood pressure measurement will occur. 5. A general systems assessment will occur.

Nursing