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 ["4"]
Explanation
Formula:
Volume to administer (mL) = (Desired dose (mg) / Available concentration (mg/mL))
Desired dose = 320 mg
Available concentration = 400 mg / 5 mL
Calculate the concentration per mL:
400mg / 5mL
= 80 mg/mL
Apply the formula:
Volume to administer = 320 mg / 80 mg/mL
=4ml
The nurse should administer 4 mL per dose.
Correct Answer is C
Explanation
A. "Cognitive abilities in children with Down syndrome cannot be improved, so focusing on physical health is the only priority." While children with Down syndrome do experience cognitive impairments, early intervention programs such as speech, occupational, and physical therapy can enhance cognitive, motor, and social development, improving their overall functioning.
B. "Infants who have Down syndrome typically have significantly higher IQ scores compared to typically developing infants." Children with Down syndrome generally have mild to moderate intellectual disability, and their IQ scores tend to be lower than typically developing peers, not higher.
C. "Early intervention programs can mitigate cognitive impairments in infants who have Down syndrome." This is correct. Early stimulation, structured learning environments, and specialized therapies can help optimize the child's cognitive potential and improve adaptive skills.
D. "Cognitive abilities of infants who have Down syndrome are typically within the average range during the first year of life." Although some developmental milestones may appear similar in early infancy, delays in cognitive and motor development often become noticeable within the first year, distinguishing children with Down syndrome from their typically developing peers.
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