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

Answer and Explanation

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.

Nursing Test Bank

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Correct Answer is ["B","C","D"]

Explanation

A. Having the client douche every morning and night is not recommended as it can disrupt the natural balance of vaginal flora and exacerbate the condition. It may worsen symptoms and increase the risk of complications.

B. Instructing the client to avoid alcohol for 72 hours after treatment is not necessary in this scenario. Metronidazole is an antibiotic used to treat bacterial vaginosis and does not typically interact with alcohol.
C. Metronidazole is the treatment of choice for bacterial vaginosis, which is suggested by the client's symptoms (frothy, yellow-green, malodorous discharge) and the provider's likely diagnosis based on the clinical presentation.
D. Recommending the client's partner receive treatment is important to prevent reinfection or transmission of the infection. Bacterial vaginosis can be sexually transmitted, and treating both partners helps reduce the risk of recurrence.
E. Performing an oatmeal sitz bath may provide symptomatic relief for certain conditions, but it is not typically indicated for the treatment of bacterial vaginosis.

Correct Answer is ["5.3"]

Explanation

To calculate the dosage of acetaminophen for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.
The child weighs 28 lb, which is approximately 12.7 kg (28 / 2.2 = 12.7).

The prescribed dose is 10 mg/kg, so the child's dose is 127 mg (10 mg/kg 12.7 kg).

Now, using the concentration of the available medication, which is 120 mg/5 mL, you can calculate the volume of medication needed.
For 120 mg of acetaminophen, 5 mL of liquid is required, so for 127 mg, it would be 5 mL (127 mg / 120 mg) = 5.29 mL.
Therefore, the nurse should administer 5.3 mL, rounding to the nearest tenth as instructed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

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