When taking the history of a female client, which client statement should the nurse refer to the physician?
A. "I had a fibroadenoma of the breast when I was 22 years old."
B. "I had my first child when I was 26 years old and my second child when I was 32."
C. "I stopped using oral contraceptives when I was no longer sexually active."
D. "I went through menopause 2 years ago and have started having vaginal bleeding again."
D
Vaginal bleeding that occurs after a 12-month cessation of menses after the onset of menopause is a symptom rather than a medical diagnosis. It is considered serious and should be evaluated, because gynecologic cancer occurs in 20% to 40% of women who experience postmenopausal bleeding.
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You are the nurse working triage in the emergency department. A school-age child is brought in for treatment, carried by her mother. What is part of a primary assessment that should be performed first on this child?
a. Determine level of consciousness. b. Obtain a health history. c. Obtain a full set of vital signs. d. Evaluate for pain.
A patient with a history of multiple childhood illnesses tells the nurse that she dislikes doctors and hospitals because "nothing good ever happens in a hospital."
The nurse's understanding of cognitive concepts helps him realize this patient's comment demonstrates: 1. A cognitive triad. 2. Selective abstraction. 3. Dichotomous thinking. 4. Minimization.
The dominant philosophy underlying quantitative scientific method is:
a. Positivism. b. Interpretivism. c. Constructivism. d. Connectivism.
To assist the patient to a sitting position on the side of the bed, what should the nurse do first?
a. Raise the height of the bed. b. Raise the head of the bed 30 degrees. c. Turn the patient onto the side facing away from the nurse. d. Move the patient's legs over the side of the bed.