A 45-year-old woman is seen because of irregular menstrual periods. Her follicle-stimulating hormone (FSH) level is 48 mIU/mL, and her luteinizing hormone (LH) level is elevated. She asks the clinician what this means. Which would be the best response?
a. "You are approaching menopause."
b. "You have a hormone imbalance."
c. "Your FSH is normal, but your pituitary is making too much LH."
d. "There is an imbalance between your ovaries and pituitary."
ANS: A
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A client with systemic lupus erythematosus (SLE) was recently discharged from the hospital after an acute exacerbation. The client is in the clinic for a follow-up visit and is distraught about the possibility of another hospitalization disrupting
the family. What action by the nurse is best? a. Explain to the client that SLE is an unpredictable disease. b. Help the client create backup plans to minimize disruption. c. Offer to talk to the family and educate them about SLE. d. Tell the client to remain compliant with treatment plans.
A patient comes into the clinic complaining of being exposed to a co-worker who has the flu. The patient is asymptomatic. What should the nurse anticipate the physician will order?
a. Flumadine (rimantadine) b. Valtrex (valacyclovir) c. Ziagen (abacavir) d. Crixivan (indinavir)
The nurse evaluates no need for further instruction for self-care for the patient with Cushing's syndrome who states:
1. "I know I should add salt to everything I eat." 2. "I make a point to avoid excessive exposure to sun." 3. "I avoid being exposed to anyone with an infection." 4. "I am careful to wear well-fitting shoes."
The parents of a 2-year-old child tell the nurse they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. What should the nurse recommend?
a. Ignore the baby talk. b. Tell the toddler frequently, "You are a big kid now." c. Explain to the toddler that baby talk is for babies. d. Encourage the toddler to practice more advanced patterns of speech.