The nurse interviews a 28-year-old patient with a new medical diagnosis of endometriosis. Which question is appropriate? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. "Are you having hot flashes?"
2. "Are you experiencing pain during intercourse?"
3. "Is a vaginal discharge present?"
4. "Are you having pain during your period?"
5. "Have you noticed any skin rashes?"
2,4
Rationale 1: Hot flashes are not a symptom of endometriosis.
Rationale 2: The primary symptoms of endometriosis include dyspareunia.
Rationale 3: Vaginal discharge is not a symptom of endometriosis.
Rationale 4: The primary symptoms of endometriosis include dysmenorrhea.
Rationale 5: Skin rashes are not a symptom of endometriosis.
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In which situation would an emergency room nurse be justified in proceeding without obtaining consent, verbal or otherwise?
a. An unconscious, profusely bleeding victim is brought in by ambulance. b. A 13-year-old child is brought to the emergency room after suffering a frac-tured arm while at school. c. A construction worker comes into the emergency room to have a boil lanced. d. A 15-year-old high-school girl comes in for treatment of psoriasis.
The client has been ordered treatment with lansoprazole. The client is being treated for a duodenal ulcer. Because the drug is being used to treat this condition, the nurse anticipates that the client will be ordered:
a. 15 mg daily as maintenance. b. 30 mg daily for 8 weeks. c. 15 mg daily for 4 weeks. d. 30 mg twice daily for 2 weeks.
What safety measures should a nurse teach/encourage for school-age children?
1. Have a gate blocking access to the stairs 2. Wearing a helmet when riding a bicycle as well as a helmet and pads for rollerblading 3. Always check mirrors before starting to drive 4. Keep sharp objects out of reach
A client is brought into the emergency department because he was involved in an automobile accident. His blood alcohol level (BAL) is 0.10 mg %. Based on this finding, the nurse would expect to assess which of the following?
A) Difficulty with coordination B) Stupor C) Emotional lability D) Ataxia