The nurse is caring for an Olympic athlete who reports she has not had a menstrual cycle for 6 months, ever since she started training for the next Olympic tryout. The nurse suspects the cause of this patient's amenorrhea is what?
A) Hypothalamus is not releasing gonadotropin-releasing hormone (GnRH)
B) Absence of estrogen production
C) Increased production of follicle-stimulating hormone (FSH)
D) Decreased production of progesterone
A
Feedback:
Enormous amounts of energy are expended in reproduction, and if the body needs energy for other reasons, such as this patient's tremendous energy output while training, the hypothalamus shuts down the reproductive activities, stopping the release of GnRH, which results in no FSH or luteinizing hormone (LH) release and no stimulation of the follicles. Estrogen and progesterone production are not impacted and FSH production decreases.
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An older man is taking chlorpromazine (Thorazine), and the nurse helps him choose menu items. To prevent an exacerbation of potential adverse effects of therapy, which menu item does the nurse instruct the man to avoid?
a. Biscuits and gravy c. Whole grain bread b. Coffee with cream d. Mixed green salad
Which of the following questions would be appropriate for the nurse to ask a 65-year-old male who wants to receive Medicare benefits?
a. Do you receive or qualify to receive Social Security benefits? b. Do you receive or qualify to receive Medicaid benefits? c. What is your yearly annual income? d. What is your yearly anticipated medical expense?
The nurse prepares teaching material regarding nutrient needs in adolescence. For which reason should the nurse emphasize that adolescent males need more protein that adolescent females?
a. A preoccupation with appearance b. An increase in lean body tissue and muscle mass c. Differences in daily activities and attitudes towards health d. The development of needed fat stores in their buttocks and hips
Which of the following interventions are recommended guidelines for meeting patient postoperative elimination needs?
A) Assess abdominal distention, especially if bowel sounds are audible or are low pitched. B) Assess for the return of peristalsis by auscultating bowel sounds every 4 hours when the patient is awake. C) Encourage food and fluid intake when ordered, especially dairy products and low-fiber foods. D) |Assess for bladder distention by palpating below the symphysis pubis if the patient has not voided within 8 hours after surgery.