Nokea
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
- A. Premature ovarian failure
- B. Renal calculi
- C. Dysmenorrhea
- D. Recurrent urinary tract infection
Correct Answer: A
Rationale: Premature ovarian failure leads to decreased estrogen production and lack of ovulation, significantly affecting fertility.
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A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
- A. WBC count 11,000/mm3
- B. Hgb 11.2 g/dL
- C. Hct 34%
- D. Platelets 140,000/mm3
Correct Answer: D
Rationale: A platelet count of 140,000/mm³ is concerning as it is on the lower end of normal and could indicate thrombocytopenia, increasing the risk of bleeding.
What is the most common reproductive tract cancer associated with pregnancy?
- A. Cervical
- B. Uterine
- C. Ovarian
- D. Fallopian tube
Correct Answer: A
Rationale: The incidence of cervical cancer concurrent with pregnancy is reported to be 1 in 2000 pregnancies, making it the most common reproductive tract cancer associated with pregnancy.
What is the goal of a long-term treatment plan for an adolescent with an eating disorder?
- A. Managing the effects of malnutrition
- B. Establishing sufficient caloric intake
- C. Improving family dynamics
- D. Restructuring client perception of body image
Correct Answer: D
Rationale: The primary focus of treatment is restructuring cognitive perceptions about the individual's body image, after reestablishing physiologic homeostasis.
The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient?
- A. Chest pain that radiates to the right arm and jaw
- B. Episodic nausea/indigestion and palpitations
- C. Sudden onset of trouble walking, and loss of balance
- D. Swelling of the feet and shortness of breath
Correct Answer: B
Rationale: For female patients, the classic symptom of a myocardial infarction (MI) is often different from that in male patients. While chest pain that radiates to the right arm and jaw is a common symptom in male patients, female patients may present with more subtle symptoms. Episodic nausea/indigestion and palpitations are more commonly seen in female patients experiencing a myocardial infarction. It is important for healthcare providers to recognize and consider these atypical symptoms in female patients to ensure timely diagnosis and treatment.
A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenomHow would the nurse explain the defining characteristics of a fibroadenoma?
- A. Inflammation of the milk ducts and glands behind the nipples
- B. Thick, sticky discharge from the nipple of the affected breast
- C. Lumpiness in both breasts that develops 1 week before menstruation
- D. Single lump in one breast that can be expected to shrink as the woman ages
Correct Answer: D
Rationale: Fibroadenomas are usually solitary lumps that shrink as the woman ages. They are benign and distinct from other conditions like mammary duct ectasia or fibrocystic changes.