A client has been seen in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. The best response by the nurse should be:
1. "It causes the cessation of menstruation."
2. "It is also known as primary dysmenorrhea."
3. "It is pain that occurs during ovulation."
4. "It is the presence of tissue outside the uterus that resembles the endometrium."
4
Rationale: Endometriosis is defined as the presence of tissue outside the uterus that resembles the endometrium in both structure and function. The response of this tissue to the stimulation of estrogen and progesterone during the menstrual cycle is identical to that of the endometrium. Primary dysmenorrhea refers to menstrual pain without identified pathology. Mittelschmerz re-fers to pelvic pain that occurs midway between menstrual periods, and amenorrhea is the cessa-tion of menstruation for at least three cycles or 6 months in a woman who has an established a pattern of menstruation. Amenorrhea can be caused by a variety of causes.
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The nurse is collecting a urine specimen from a client and notes the urine is foamy and amber in color. The nurse would suspect which of the following in this situation?
1. Kidney stones 2. Urinary tract infection 3. Prostate disease 4. Liver disease
An adolescent female student is concerned about gaining weight. How many calories per day should the nurse explain that the student will need for normal growth and development?
a. Much greater than adolescent males b. 2,200 kcalories/day with 45 grams of protein c. About 3,000 kcalories/d because of rapid growth periods d. Limited to about 1,500 kcalories/day to avoid becoming overweight
The nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would the nurse expect to find?
A) History of chronic major depression B) Consistently disrupting behavior patterns C) Verbalization of bizarre delusions D) Living with one or more delusions for a period of time