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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}
Explanation
-
Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function. -
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement. -
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status. -
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement. -
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement. -
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.
Correct Answer is ["A","B","C","D"]
Explanation
A. "I'll make sure his diaper is loose in the front." This is correct because a loose diaper can prevent pressure on the circumcision site, reducing discomfort and the risk of disrupting the healing process.
B. "I'll expect the plastic ring to fall off by itself within a week." This statement is accurate as the Plastibell ring is designed to fall off on its own as the circumcision heals.
C. "I'll call the doctor if I see any bleeding." This is an appropriate action as bleeding can be a sign of a complication and should be assessed by a healthcare provider.
D. "I'll apply petroleum jelly to his penis with diaper changes." This is correct; applying petroleum jelly can help prevent the diaper from sticking to the circumcision site and aid in healing.
E. "I'll wash his penis with warm water and mild soap each day." This statement is not recommended with the Plastibell technique as it can disrupt the healing process. The site should be kept as dry as possible to allow the ring to fall off naturally.
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