A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome. The nurse should plan to monitor which of the followinglaboratory values?
Glucose
BUN
Thyroid-stimulating hormone
Liver function
The Correct Answer is A
A. Glucose
Rationale:
A. Glucose monitoring is essential for clients with polycystic ovarian syndrome (PCOS) due to the increased risk of insulin resistance and diabetes.
B. Blood urea nitrogen (BUN) levels are not typically monitored specifically for PCOS.
C. Thyroid-stimulating hormone (TSH) levels may be assessed if there is suspicion of thyroid dysfunction but are not routinely monitored for PCOS.
D. Liver function tests are not typically indicated for routine monitoring in PCOS unless there are specific signs or symptoms of liver dysfunction.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Asking a psychiatrist to talk with the parents may not be the most appropriate immediate
action when abuse is suspected. Reporting to the authorities should take precedence to ensure the child's safety.
B. Obtaining a detailed history is important but should be done after reporting the suspected abuse to the authorities.
C. Separating the child from the parents may not be feasible or appropriate in all situations.
Reporting to the authorities is the priority action to ensure proper investigation and protection of the child.
D. Report the suspected abuse to the authorities. Suspected child abuse must be reported
immediately to the appropriate authorities, such as child protective services or law enforcement, for further investigation and intervention to ensure the safety and well-being of the child.
Correct Answer is ["C","E"]
Explanation
A. Deep tendon reflexes are not mentioned in the notes, and there are no indications that they are abnormal or concerning based on the information provided.
B. The respiratory rate is within normal limits and is not significantly abnormal. There are no indications in the notes to suggest respiratory distress or other respiratory issues.
C. The client's symptoms of a severe headache, dizziness upon standing, and inability to remove rings, along with the elevated blood pressure, suggest potential cerebral
manifestations such as preeclampsia. These symptoms warrant further evaluation and intervention by the provider.
D. Fetal heart rate is within normal limits and does not indicate any immediate concerns based on the information provided.
E. The elevated blood pressure (160/96 mm Hg) is a significant finding and may indicate hypertension or preeclampsia, which requires immediate attention from the provider.
F. Gastrointestinal assessment findings are not mentioned in the notes, and there are no
indications of gastrointestinal issues that would warrant reporting to the provider at this time.
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