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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Vaccinations, especially the MMR vaccine, have been proven to be a leading cause of autism in children." This statement is false. Extensive research has shown no link between vaccines, including the MMR vaccine, and autism. The original study suggesting a connection was discredited and retracted due to fraudulent data.
B. "ASD is primarily caused by poor parenting and a lack of nurturing in early childhood." This outdated theory, once known as the "refrigerator mother" hypothesis, has been debunked. Autism is a neurodevelopmental disorder with biological origins, not a result of parenting style.
C. "The exact causes of autism spectrum disorder are not fully understood, but it is believed to be related to a combination of genetic and environmental factors." This is correct. Research suggests that genetic predisposition, along with environmental influences (such as prenatal factors or advanced parental age), plays a role in ASD development. However, no single cause has been identified.
D. "ASD can be caused by consuming gluten and casein, which are found in wheat and dairy products, respectively." There is no scientific evidence that gluten or casein causes autism. While some parents report behavioral improvements on gluten-free or casein-free diets, these diets do not cause or cure autism.
Correct Answer is ["3.8"]
Explanation
Convert the child's weight from pounds to kilograms:
Formula:
kg = lb / 2.2
= 22 lb / 2.2 lb/kg
= 10 kg
Calculate the total daily dose of dexamethasone:
Total daily dose (mg) = Dose (mg/kg/day) × Weight (kg)
= 1.5 mg/kg/day × 10 kg
= 15 mg/day
Calculate the dose to be administered every 6 hours:
Dose per interval (mg/dose) = Total daily dose (mg/day) / Number of doses per day
= 15 mg/day / 4 doses/day
= 3.75 mg/dose
Calculate the volume of dexamethasone oral solution to administer:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
= 3.75 mg / 1 mg/mL
= 3.75 mL
Round to the nearest tenth:
3.75 mL rounded to the nearest tenth is 3.8 mL.
The nurse should administer 3.8 mL per dose.
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