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A nurse is assisting with the care of a client who was recently diagnosed with endometriosis.History & Physical Nurse Notes Provider Prescriptions
Nafarelin 200 mcg 1 spray intranasally every morning and 1 spray in the opposite nostril every evening
A nurse is assisting with the care of a client who was recently diagnosed with endometriosis and began taking medication to treat the condition. Which of the following manifestations reported by the client should the nurse identity as a therapeutic effect of the medication?
(Select all that apply)

Dermatological manifestations

Breast changes

Pain level during sexual intercourse

Nasal mucosa changes

CNS manifestations

Missed previous month's menstrual cycle

Answer and Explanation

Correct Answer : C,F

Rationale:

A. Dermatological manifestations are not typically associated with the therapeutic effects of medications used to treat endometriosis.

B. Breast changes are not typically associated with the therapeutic effects of medications used to treat endometriosis.

C. Pain level during sexual intercourse is a symptom of endometriosis, and a decrease in pain during intercourse would indicate a therapeutic effect of the medication. Nafarelin is a gonadotropin-releasing hormone (GnRH) agonist commonly used to treat endometriosis by reducing estrogen levels and subsequently alleviating symptoms such as pelvic pain and dyspareunia (pain during sexual intercourse).

D. Nasal mucosa changes may occur as a side effect of intranasal medications like nafarelin, but they are not indicative of the therapeutic effect of the medication in treating endometriosis.

E. CNS manifestations are not typically associated with the therapeutic effects of medications used to treat endometriosis.

F. Missed previous month's menstrual cycle could indicate amenorrhea, which can be a therapeutic effect of medications like nafarelin in treating endometriosis by suppressing ovulation and menstruation, thereby reducing symptoms associated with endometrial tissue growth.

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Correct Answer is C

Explanation

Rationale:

A. While it's important for the client's diet to be healthy during pregnancy, weight gain recommendations are based on the client's pre-pregnancy BMI and are important for both maternal and fetal health.

B. The recommended weight gain for a client with a BMI of 26.5 is higher than 11 to 20 pounds.

C. The recommended weight gain for a client with a BMI of 26.5 is about 15 to 25 pounds, according to guidelines from the Institute of Medicine (IOM).

D. A weight gain of 25 to 35 pounds is more appropriate for clients with a lower pre-pregnancy BMI, such as underweight or normal weight individuals.

A. The client is Rh negative and the newborn is Rh negative. B. The client is Rh negative and the newborn is Rh positive. C. The client is Rh positive and the newborn is Rh positive. D. The client is Rh positive and the newborn is Rh negative.

Correct Answer is B

Explanation

Rationale:

A. If both the client and the newborn are Rh negative, there is no need for Rho(D) immune globulin administration.

B. If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh isoimmunization, and Rho(D) immune globulin should be administered to prevent sensitization of the mother's immune system to Rh-positive blood cells.

C. If both the client and the newborn are Rh positive, there is no need for Rho(D) immune globulin administration.

D. If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh isoimmunization, and Rho(D) immune globulin is not indicated.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is C

Explanation

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer is B

Explanation

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