Your patient is a 36-year-old woman who complains of milky discharge from both her breasts, episodes of headache, and menstrual irregularity. The patient is on no medications
Upon examination, there are no significant findings, and the patient is not pregnant, breastfeeding, or in the postpartum period. It is important to:
A. Order prolactin level
B. Obtain an MRI of head
C. Have the patient keep a menstrual cycle diary
D. Refer the patient for mammogram
ANS: A
Galactorrhea can be a symptom of endocrine disorder, particularly pituitary dysfunction. In prolactinoma of the pituitary, a patient complains of galactorrhea, headaches, vision change, relative infertility, and amenorrhea. Laboratory studies should include a pregnancy test, prolactin level, and thyroid functions.
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The nurse is completing the health history on a patient admitted for cardiac rehabilitation. The health history is conducted in which step of the nursing process?
a. Assessment b. Diagnosis c. Implementation d. Evaluation
A mother with diabetes has done some reading about the effects of the condition on her newborn. Which statement shows a misunderstanding that should be clarified by the nurse?
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The nipple is composed of smooth muscle and can become erect when stimulated
Indicate whether the statement is true or false.
The nurse observes drainage from a client's ears after a head injury, and suspects a cerebral spinal fluid (CSF) leak. Which description of the fluid supports the nurse's suspicion?
1. Yellow without sediment. 2. Blood-tinged without sediment. 3. Clear, colorless. 4. Pink without sediment.