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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Rationale:

A. Repeating the assessment after offering the client orange is not necessary as the score is already optimal.

B. Assuring the client that the score is within the expected range is appropriate because a score of 10 on the biophysical profile is considered normal and indicates reassuring fetal well-being.

C. Assisting the client into a side-lying position may be unnecessary unless there are other concerns about fetal well-being or maternal comfort.

D. Administering oxygen and notifying the provider are not indicated for a normal biophysical profile score of 10.

A. "I can continue my daily swimming routine." B. "I will participate in a game of racquetball once a week." C. "I can go cycling daily." D. "I will attend a yoga class three times per week."

Correct Answer is B

Explanation

Rationale:

A. Continuing a daily swimming routine is generally considered safe during pregnancy and is a low-impact exercise that provides cardiovascular benefits.

B. Participating in a game of racquetball once a week may pose a risk during pregnancy due to the potential for rapid movements, changes in direction, and potential for impact. Racquetball is a high-intensity activity that may increase the risk of falls or injury, especially as pregnancy progresses. Therefore, it is not typically recommended during pregnancy.

C. Cycling is generally considered safe during pregnancy, especially stationary cycling, as it is a low-impact exercise that helps strengthen the lower body muscles and provides cardiovascular benefits.

D. Attending a yoga class three times per week is generally considered safe during pregnancy, as long as the poses are modified to accommodate the changes in the body and to avoid positions that may increase the risk of falls or strain on the abdomen.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?

Correct Answer is B

Explanation

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