A young adult client is in the clinic for evaluation of amenorrhea lasting 3 months. She takes birth control pills but is on no other medications. Which actions by the nurse are most appropri-ate? (Select all that apply.)
a. Instruct the client on collecting a urinalysis for a pregnancy test.
b. Assess the client's urinary and bowel ha-bits.
c. Perform a physical assessment on the client's abdomen.
d. Weigh the client and calculate the body mass index.
e. Reassure the client that amenorrhea can occur with oral contraception.
A, D
Amenorrhea can be caused by several things, but not by urinary or bowel problems. Pregnancy should always be considered, even if the woman is on birth control of any type. Too little body fat can lead to menstrual irregularities. Simply reassuring the client is not as helpful as conducting further assessment.
You might also like to view...
A client is suspected of having renal cell carcinoma (RCC). Which manifestation will the nurse likely assess? Select all that apply.
A) Hematuria B) Dysuria C) Abdominal mass D) Weight loss E) Urinary frequency
The nurse is teaching a class about the immune system. The nurse asks the class to list various functions of antibodies. Which class responses does the nurse evaluate as indicating a good un-derstanding? (Select all that apply.)
a. "They release chemicals to cause blood vessels to dilate." b. "They deactivate toxins that are released in an infection." c. "They tag bacteria so the macrophages know to eat them up." d. "They cause the person to have a fever." e. "They tell cells to make collagen for scar tissue." f. "They turn on the complement system."
A patient with gout is prescribed colchicine. For which laboratory value should the nurse question administering this medication to the patient?
1. WBC 20,000 2. uric acid level 7.8 3. BUN 68 4. Hgb 14.2
Which of the following pathogens causes bronchiolitis?
a. viruses c. spirochete b. bacteria d. protozoa