The nurse is conducting a health history interview with a female patient. To best assess the patient's endocrine system, the nurse asks which question?
1. "Is there a history of cancer in your family?"
2. "Is your menstrual cycle regular, every 28 days?"
3. "Have you ever experienced difficulty breathing?"
4. "Do you have problems with indigestion?"
2
Rationale 1: History of cancer is not the most important assessment question.
Rationale 2: The patient who has an irregular menstrual cycle might be experiencing an endocrine disorder such as increased androgen production or decreased estrogen levels.
Rationale 3: Difficulty breathing is not directly related to endocrine assessment.
Rationale 4: Indigestion is not directly related to endocrine assessment.
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The peripheral smear is a diagnostic test that:
a. assesses the level of hemoglobin. b. measures antibody production. c. examines the shape and structure of RBCs. d. identifies infection.
When caring for an older patient having surgery, the nurse avoids shaving the patient. Which body system is the nurse supporting by using this intervention?
1. integumentary 2. sensory-perceptual 3. respiratory 4. cardiovascular
A client has been prescribed raloxifene hydrochloride (Evista). What information about side effects should the nurse include in the client teaching about the medication? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Hot flashes 2. Breast pain 3. Sinus headache 4. Vaginal bleeding 5. Endometriosis
An 84-year-old woman with diabetes had leg ulcers that necessitated long-term treatment because of her condition. One day, the client was angry because the nurse was late for their scheduled appointment and refused to let the nurse enter the house
Which of the following would be the best action for the nurse to take? a. Accept that the client has the right to deny consent but try to visit later when she may not be quite so upset. b. Call a legal consult because the client has obviously lost the ability to make rational decisions. c. Demand the client sign an "against medical advice" slip or else change the dressings, using coercion as necessary. d. Walk away, document the client's refusal, and accept the client's decision. ANS: A