The nurse is reviewing normal menstruation with an early adolescent. What should the nurse explain that occurs to the endometrium of the uterus during the second half of a typical menstrual cycle?
A) Becomes thin and transparent, due to progesterone stimulation
B) Becomes thin and transparent, due to follicle-stimulating hormone
C) Becomes thick and purple-hued, due to estrogen stimulation
D) Becomes thick and purple-hued, due to progesterone stimulation
Ans: D
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You are the community-based nurse who acts as case-manager for a small town about 60 miles from a major health care center. What is the most important factor of community-based nursing you should be knowledgeable about?
A) Eligibility requirements for services B) Community resources available to patients C) Transportation costs to the medical center D) Possible charges for any services provided
A 39-year-old Italian American client lives in an ethnic community of Italian immigrants. He, and most of his peers, are of lower-socioeconomic income. Recently, the client was charged with an act of voyeurism
Which individual would be most likely to label the client's behavior as mental illness? A) The client's parents, who are ashamed of his behavior B) The client's friends from his "Sons of Italy" social club C) The client's employer, who owns the company where he works D) The client's wife, who believes she must protect their children
A patient with ARDS is on a mechanical ventilator and is becoming increasingly restless with a heart rate of 128
The SaO2 is 88% and the ventilator settings are FiO2 50%; PEEP 8 cm; AC 10 with a total respiratory rate of 30; and a tidal volume of 700 mL. There are coarse rhonchi audible in all lung fields. The appropriate nursing action would be to: 1. Hyperoxygenate with 100% oxygen and suction the patient. 2. Administer the ordered neuromuscular blockade medications. 3. Increase the FiO2 to 60% and tidal volume to 750 mL for 2 minutes. 4. Increase the PEEP to 10 cm and sedate the patient.
The Joint Commission regulations state that pain is to be assessed whenever other vital signs are measured. What must the nurse include in the documentation of pain in the electronic medical record?
1 . Level of pain 2 . Description of pain 3 . Action taken to relieve pain 4 . Vital signs every 2 hours A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4