A nurse is assisting with planning care for a 17-year-old client who may have anorexia nervosa (AN). Which of the following should the nurse recognize as a common reproductive health concern for this client?

Amenorrhea

Increased fertility

Early onset of puberty

Pelvic inflammatory disease (PID)

Answer and Explanation

The Correct Answer is A

A. Amenorrhea. Anorexia nervosa is associated with severe weight loss and malnutrition, leading to hormonal imbalances that disrupt the menstrual cycle. Decreased estrogen levels result in amenorrhea, which is a hallmark symptom of the disorder and a significant reproductive health concern.

B. Increased fertility. Anorexia nervosa typically leads to hormonal imbalances, including decreased levels of gonadotropins and estrogen, which suppress ovulation and reduce fertility rather than increasing it.

C. Early onset of puberty. Malnutrition and low body fat delay puberty rather than accelerating it. Adolescents with anorexia nervosa may experience delayed menarche and stunted growth due to inadequate nutrition.

D. Pelvic inflammatory disease (PID). PID is usually caused by sexually transmitted infections and is not directly associated with anorexia nervosa. The primary reproductive concern in anorexia is hormonal disruption leading to menstrual irregularities.

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Correct Answer is B

Explanation

A. An electrical source. Electrical burns often cause deep tissue damage that may not be visible on the surface. These burns can extend beyond the skin, affecting muscles, nerves, and internal organs, making them more severe than partial-thickness burns.

B. Contact with hot liquid. Scald burns from hot liquids (e.g., boiling water, coffee, soup) are a common cause of partial-thickness burns. These burns affect the epidermis and part of the dermis, leading to blistering, redness, and pain.

C. A mild sunburn. Mild sunburns typically cause superficial burns (first-degree burns), affecting only the epidermis and resulting in redness and discomfort without blisters. Partial-thickness burns involve deeper skin layers.

D. Contact with a flame. Direct contact with a flame is more likely to cause deeper burns, often resulting in full-thickness burns (third-degree) rather than partial-thickness burns.

A. Frequent assessments of blood glucose levels B. Routine monitoring of thyroid-stimulating hormone (TSH) levels C. Regular monitoring of blood pressure D. Continuous monitoring of body temperature

Correct Answer is B

Explanation

A. Frequent assessments of blood glucose levels. While hypothyroidism can affect metabolism, levothyroxine does not typically require frequent blood glucose monitoring unless the client has diabetes or another metabolic condition.

B. Routine monitoring of thyroid-stimulating hormone (TSH) levels. TSH is the primary indicator used to assess whether levothyroxine dosage is effective. Routine TSH monitoring ensures that thyroid hormone levels remain within the target range, preventing complications such as under-treatment (persistent hypothyroid symptoms) or over-treatment (hyperthyroid symptoms like palpitations and weight loss).

C. Regular monitoring of blood pressure. While thyroid dysfunction can affect blood pressure, routine BP monitoring is not the primary focus of hypothyroidism management unless the client has additional risk factors for hypertension.

D. Continuous monitoring of body temperature. Hypothyroidism can cause cold intolerance, but continuous body temperature monitoring is not necessary unless the client is at risk for severe hypothyroidism complications such as myxedema coma.

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A nurse is assisting with planning care for a 17-year-old client who may have anorexia nervosa (AN). Which of the following should the nurse recognize as a common reproductive health concern for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who presents with a partial thickness burn. Which of the following does the nurse suspect as the cause of the client's condition?

Correct Answer is B

Explanation

A nurse is reinforcing education for the parents of a client with hypothyroidism who has been prescribed levothyroxine (Synthroid). The nurse should reinforce the ongoing need for which of the following monitoring or screenings?

Correct Answer is B

Explanation

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