A 22-year-old tells the nurse that she has not had a menstrual period for the last 2 months. Which action is most important for the nurse to take?
a. Obtain a urine specimen for a pregnancy test.
b. Ask about any recent stressful lifestyle changes.
c. Measure the patient's current height and weight.
d. Question the patient about prescribed medications.
ANS: A
Pregnancy should always be considered a possible cause of amenorrhea in women of childbearing age. The other actions are also appropriate, but it is important to check for pregnancy in this patient because pregnancy will require rapid implementation of actions to promote normal fetal development such as changes in lifestyle, folic acid intake, etc.
You might also like to view...
The nurse checks what other medications the patient is taking before instructing him about the antiretroviral he is started on. This is necessary for which reason?
a. The antiretroviral and other medications must be taken together. b. The antiretroviral should be taken alone and not with other medications. c. The antiretroviral and other medications must be taken with milk. d. The antiretroviral should be taken with water 30 minutes before eating.
Statistical data from 2008 noted that the average age of nurses was:
a. 30.8 c. 52.1 b. 34.2 d. 46.0
The nurse is performing a physical assessment on a client who has a history of a respiratory infection. Which documentation, completed by the nurse, indicates the resolution of the infection? Select all that apply
A) Lung fields documented as clear in the bases. B) Palpable vibrations over the chest wall when the client speaks. C) Decreased fremitus when the client speaks "99." D) Dull sounds percussed over the lung tissue. E) Bronchovesicular sounds heard over the upper lung fields.
A patient tells the nurse that there is a history of diabetes in the family, and even though she has always tried to keep her blood glucose level on the "low side" she still developed diabetes. What information should the nurse provide?
1. "Body weight is a big contributor to the development of both types of diabetes." 2. "There is no way to stop the development of diabetes." 3. "Diabetes can be caused by taking some medications." 4. "It is thought that genetics is involved with the development of both type 1 and type 2 diabetes."