A young woman is not pregnant but has not had a menstrual period for 5 months. Which factors does the nurse explore as a possible cause of the amenorrhea?
a. The client's mother having type 2 diabetes mellitus
b. Running 10 to 15 miles/day
c. Taking aspirin daily
d. Having a diet high in protein
B
Excessive exercise, with corresponding loss of body fat, is associated with insufficient estrogen levels for the maintenance of normal ovulatory and menstrual cycles. The other factors are non-contributory.
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A woman has painful hemorrhoids after a vaginal birth. Her husband brings her a donut pillow to sit on. What response by the nurse is best?
A. "A lot of women get good pain relief from these." B. "Donut pillows actually increase hemorrhoid pain." C. "I will have to get permission for her to use this." D. "That was nice of you, but these don't work well."
The fathers of infants born to pregnant teenagers typically:
A. Are involved through delivery, but then the relationship dissipates B. Are not involved with the mother once the pregnancy is known. C. Contribute financially to the child's upbringing as much as they are able. D. Remain involved with the mother and her infant for several years.
The nursing student observes that his client has no relief from his pain after receiving the intravenous pain medication administered by the staff Registered Nurse (RN). The RN takes frequent breaks using the restroom and has constricted pupils
The nursing student noted that he saw an empty syringe in the staff restroom. Using the problem-solving process, the next best action to take is to: A) report the observations to his clinical instructor and follow the chain of command to report the issue within the institution according to the institution's policy. B) gather as many facts about the incident as possible: what additional symptoms of narcotic use does the RN exhibit, do other clients she is caring report they are in pain, and are there multiple occasions of wasting narcotics by the RN? C) examine alternative reasons for the findings, such as the RN is in bright light constricting her eyes, and the syringe used to administer the medicine to the client had ìMorphineî on the label and the one in the trash was a regular unmarked syringe. D) evaluate the consequences of the action the nurse has takenóclient's safety is protected, and the affected chemically dependent nurse may receive the help she needs.
The mother of an adolescent receiving methylphenidate (Concerta) for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she can't just get refills on the prescription. What is the best response by the nurse?
1. "Just drop by and I will get a prescription for you without seeing your son." 2. "We can't do that; maybe you can find another doctor's office that will do it." 3. "The law does not allow us to give you refills on this medication." 4. "The medication can be addictive so your son needs a monthly medical evaluation."