A nurse is collecting assessment data on a new client. The client states she does not have a menses. What term will the nurse use in her documentation to describe the absence of menstrual flow?

Menorrhagia

Dysmenorrhea

Amenorrhea

Metrorrhagia

Answer and Explanation

The Correct Answer is C

A) Menorrhagia: This term refers to heavy or prolonged menstrual bleeding. It does not relate to the absence of menstrual flow.
B) Dysmenorrhea: This term describes painful menstruation or menstrual cramps. It is not used to indicate the absence of menstrual flow.
C) Amenorrhea: This term is used to describe the absence of menstrual flow. It can be primary (never having had a menstrual period) or secondary (the cessation of menstruation after having had periods previously).
D) Metrorrhagia: This term refers to bleeding that occurs between menstrual periods. It does not describe the absence of menstrual flow.

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Correct Answer is B

Explanation

A) 20 represents the distance a normal eye can read and 40 represents the distance your eye read the chart: This option incorrectly reverses the interpretation of the numbers. The correct interpretation is that the first number represents the distance at which the patient is reading the chart, and the second number represents the distance at which a person with normal vision would be able to read the same line.
B) 20 represents the distance you are placed from the chart and 40 represents the distance a normal eye read the chart: This is the correct interpretation of visual acuity. In the Snellen chart system, the first number (20) represents the distance (in feet) from which the patient is viewing the chart, while the second number (40) represents the distance at which a person with normal vision (20/20) would be able to read the same line of the chart.
C) 20 represents the distance you are placed from the chart and 40 represents the distance your eye read the chart: This option is incorrect because it does not accurately describe what the numbers mean. The second number represents the distance at which normal vision can read the line, not the distance the patient’s eye read the chart.
D) 40 represents the distance you are placed from the chart and 20 represents the distance normal eye read the chart: This option incorrectly assigns the numbers. The distance of 20 feet is standard for testing vision, and 40 feet is the benchmark for normal vision. The correct understanding is that 20 is the test distance, and 40 is the comparison distance for normal vision.

A. Instruct the patient on Tripod positioning B. Restrict the client's fluid intake to less than 2 L/day. C. Provide the client with a low-protein diet. D. Have the client use the early-morning hours for exercise and activity.

Correct Answer is A

Explanation

A) Instruct the patient on Tripod positioning: Tripod positioning involves the patient sitting or standing with their hands on their knees or a table, which helps in optimizing lung expansion and improving breathing. This position can help clients with COPD ease their breathing by increasing the use of accessory muscles and allowing the diaphragm to work more efficiently.
B) Restrict the client's fluid intake to less than 2 L/day: Restricting fluid intake is generally not recommended for COPD patients unless there are specific signs of fluid retention or other contraindications. Adequate fluid intake is important to keep mucus thin and easier to expel. Restricting fluids may worsen mucus thickness and make it harder to clear secretions.
C) Provide the client with a low-protein diet: COPD patients often need a higher-protein diet to help maintain muscle mass and support overall nutritional status. A low-protein diet would not be appropriate as it could lead to muscle wasting and decreased respiratory muscle strength.
D) Have the client use the early-morning hours for exercise and activity: While physical activity is important, the timing of exercise should be tailored to the client's individual tolerance and condition. Early-morning exercise might not be suitable for all patients, especially if they experience morning respiratory symptoms or have other considerations. The key is to find an optimal time that aligns with the patient's energy levels and condition.

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A nurse is collecting assessment data on a new client. The client states she does not have a menses. What term will the nurse use in her documentation to describe the absence of menstrual flow?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a complete physical examination on a patient. After examining the patient with the Snellen chart, the nurse documented distance vision in both eyes 20/40. The patient asks the nurse what 20/40 means:

Correct Answer is B

Explanation

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

Correct Answer is A

Explanation

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