What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?
- A. breast cancer
- B. cirrhosis of the liver
- C. insulin resistance
- D. insomnia
Correct Answer: C
Rationale: The correct answer is C: insulin resistance. PCOS is associated with insulin resistance, leading to an increased risk of type 2 diabetes. This is crucial for the nurse to include in patient education. A: breast cancer is not a common complication of PCOS. B: cirrhosis of the liver is not directly related to PCOS. D: insomnia is not a typical complication of PCOS. In summary, insulin resistance is the primary concern in PCOS due to its impact on metabolic health.
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What is an example of a patient’s comment that demonstrates the patient understands fibroids?
- A. I will only need to treat the fibroids when I am menopausal.
- B. A sonogram can help determine the size of my fibroids.
- C. There is little treatment to help my fibroids.
- D. Oral contraceptives will only make my fibroids worse.
Correct Answer: B
Rationale: The correct answer is B because mentioning the use of a sonogram to determine the size of fibroids shows understanding of the diagnostic process. This indicates awareness of the importance of imaging in assessing fibroids. Choice A is incorrect as fibroids may require treatment before menopause. Choice C is incorrect as there are various treatment options available. Choice D is incorrect as oral contraceptives do not necessarily worsen fibroids.
The endometrial thickness is greatest during the:
- A. Secretory phase
- B. Menstrual phase
- C. Proliferative phase
- D. Late follicular phase
Correct Answer: A
Rationale: The correct answer is A: Secretory phase. During the secretory phase of the menstrual cycle, the endometrial thickness is greatest due to increased progesterone levels, leading to thickening of the endometrium in preparation for potential implantation of a fertilized egg. This phase occurs after ovulation and is characterized by glandular secretions and increased vascularity to support a potential pregnancy.
Summary:
- Menstrual phase (B) is incorrect as it is characterized by shedding of the endometrial lining.
- Proliferative phase (C) is incorrect as it involves endometrial thickening but not to the extent seen in the secretory phase.
- Late follicular phase (D) is incorrect as it precedes ovulation and is primarily characterized by follicular development rather than significant endometrial thickening.
If a woman’s menstrual cycle began on June 2, on which date should ovulation mostly likely have occurred?
- A. Jun-10
- B. Jun-16
- C. Jun-29
- D. Jul-05
Correct Answer: B
Rationale: The menstrual cycle is typically 28 days, with ovulation occurring around day 14. In this case, if the cycle started on June 2, ovulation would likely occur around June 16, which is 14 days after the start. Choice A (Jun-10) is too early for ovulation. Choice C (Jun-29) and D (Jul-05) are too late based on the standard 28-day cycle. Therefore, choice B (Jun-16) is the correct answer based on the expected timing of ovulation in a typical menstrual cycle.
Which of the following statements about the nurse's medical record documentation is correct?
- A. it provides an accurate account of patient status and response to care
- B. it consists of both objective and subjective notes regarding the patient and care provided
- C. the physician's medical record documentation is more important than the nurse's medical record documentation in legal proceeding
Correct Answer: A
Rationale: Accurate documentation is crucial for legal and clinical purposes, providing a clear record of patient care.
Which of the following is not true of the vagina?
- A. It can act as a receptacle for seminal fluid from the male
- B. It serves as the lower part of the birth canal
- C. It is a passageway for urine
- D. It acts as an excretory duct for uterine secretions
Correct Answer: C
Rationale: The vagina is not a passageway for urine; this function is performed by the urethra.