Nokea
Which pharmacological preparation is the least effective in relieving symptoms of dysmenorrhea?
- A. Ibuprofen
- B. Acetaminophen
- C. Oral contraceptive pills
- D. Naproxen sodium
Correct Answer: B
Rationale: The correct answer is B: Acetaminophen. Acetaminophen is not an anti-inflammatory medication, unlike Ibuprofen and Naproxen sodium, which are more effective in reducing inflammation and pain associated with dysmenorrhea. Oral contraceptive pills (Choice C) can help regulate hormones to reduce menstrual cramps. Ibuprofen and Naproxen sodium (Choices A and D) are nonsteroidal anti-inflammatory drugs (NSAIDs) that target prostaglandins, which play a role in causing menstrual cramps. Acetaminophen, being a mild pain reliever, lacks the anti-inflammatory properties needed to effectively alleviate dysmenorrhea symptoms.
You may also like to solve these questions
The nurse is assessing a client who has a suspected cystocele. Which signs and symptoms should the nurse expect? Select all that apply.
- A. Frequent bladder infections
- B. Sense of fullness in the vaginal area
- C. Leaking of urine
- D. Irregular vaginal bleeding
Correct Answer: D
Rationale: The correct answer is D: Irregular vaginal bleeding. A cystocele is a condition where the bladder protrudes into the vagina. This can cause pressure on surrounding tissues and lead to irregular vaginal bleeding. A, B, and C are incorrect as they are more commonly associated with other conditions such as urinary tract infections (A), pelvic organ prolapse (B), and urinary incontinence (C). Irregular vaginal bleeding is a key sign specific to cystocele due to the physical displacement of organs.
The nurse is teaching a woman receiving adjuvant hormonal therapy on how she can manage her side effects and symptoms. Which education and teaching will the nurse include? Select all that apply.
- A. Wear layered clothing and avoid caffeine and spicy foods to help relieve hot flashes
- B. Decrease vaginal dryness by using vaginal moisturizers such as Replens or vitamin E suppositories daily
- C. Manage nausea and vomiting by consuming a bland diet and taking medication first thing in the morning.
- D. Ease musculoskeletal symptoms with warm baths and nonsteroidal analgesics
Correct Answer: B
Rationale: The correct answer is B. Vaginal dryness is a common side effect of hormonal therapy. Using vaginal moisturizers like Replens or vitamin E suppositories can help alleviate this symptom by providing moisture and lubrication. This intervention can improve the woman's comfort and quality of life during treatment.
Choice A is incorrect because wearing layered clothing and avoiding caffeine and spicy foods are strategies typically recommended for managing hot flashes, not vaginal dryness.
Choice C is incorrect as managing nausea and vomiting with a bland diet and medication is not directly related to the management of side effects of hormonal therapy like vaginal dryness.
Choice D is incorrect as warm baths and nonsteroidal analgesics are more commonly used to ease musculoskeletal symptoms, not specifically for managing vaginal dryness.
Which infant is most likely to express Rh incompatibility?
- A. Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor.
- B. Infant who is Rh negative and a mother who is Rh negative.
- C. Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor.
- D. Infant who is Rh positive and a mother who is Rh positive.
Correct Answer: A
Rationale: Rationale:
1. Rh incompatibility occurs when the mother is Rh-negative and the father is Rh-positive.
2. If the father is homozygous for Rh factor (AA), all offspring will be Rh-positive.
3. The Rh-positive offspring from an Rh-negative mother can lead to Rh incompatibility.
4. Therefore, the infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor is most likely to express Rh incompatibility.
Summary:
- Choice B is incorrect because both mother and infant are Rh-negative.
- Choice C is incorrect because the father being heterozygous for the Rh factor would not result in all offspring being Rh-positive.
- Choice D is incorrect as both mother and infant are Rh-positive, so there is no risk of Rh incompatibility.
The nurse is grading a woman's reflexes. Which of the following grades would indicate reflexes that are slightly brisker than normal?
- A. +1.'
- B. +2.'
- C. +3.'
- D. +4.'
Correct Answer: C
Rationale: The correct answer is C: +3'. This indicates brisk reflexes. A: +1' indicates a low-normal response, B: +2' indicates a normal response, and D: +4' indicates hyperactive reflexes. +3' is slightly brisker than normal, reflecting an increased response without being hyperactive.
The nurse is providing care to a child with Down syndrome. What body system has the highest risk of congenital anomaly in a child with Down syndrome?
- A. Reproductive system
- B. Genitourinary system
- C. Cardiovascular system
- D. Gastrointestinal system
Correct Answer: C
Rationale: The correct answer is C: Cardiovascular system. Children with Down syndrome have a high risk of congenital heart defects. This is due to the presence of an extra copy of chromosome 21, which can lead to abnormalities in heart development. The most common heart defects include atrioventricular septal defects, ventricular septal defects, and atrial septal defects. These defects can affect the structure and function of the heart, leading to potential complications.
Summary:
A: Reproductive system - Not typically associated with congenital anomalies in Down syndrome.
B: Genitourinary system - Not typically associated with congenital anomalies in Down syndrome.
D: Gastrointestinal system - While gastrointestinal anomalies can occur in children with Down syndrome, the cardiovascular system has a higher risk of congenital anomalies.