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 C

Explanation

A) Right knee +1; Left knee 0: The scale for grading reflexes typically ranges from 0 to 4. A score of 0 indicates no reflex, which does not align with the description of having a diminished but not absent reflex. A score of +1 suggests a reduced but present reflex, which would be appropriate for a diminished reflex on the left side.

B) Right knee +3; Left knee +2: A score of +3 indicates an exaggerated or brisk reflex, while +2 denotes a normal reflex. Since the right knee reflex is normal, it should be documented as +2. A diminished reflex on the left side is more accurately reflected by a score of +1, not +2.
C) Right knee +2; Left knee +1: This is the most accurate documentation. A score of +2 denotes a normal reflex, which applies to the right knee. A score of +1 reflects a diminished reflex, which is appropriate for the left knee where the reflex is present but reduced.
D) Right knee +4; Left knee +3: A score of +4 represents a very brisk or hyperactive reflex, which is not consistent with a normal finding. Similarly, a score of +3 would indicate an exaggerated reflex, which does not fit the description of the right knee being normal. The correct grading for a normal reflex is +2, and for a diminished reflex is +1.

A. Neither talk nor comprehend B. Talk but do not comprehend C. No alteration in speech and language D. Comprehend but not able to talk

Correct Answer is B

Explanation

A) Neither talk nor comprehend: This description does not accurately characterize receptive aphasia. Receptive aphasia, also known as Wernicke's aphasia, primarily affects comprehension, while speech production may remain intact. Patients with this condition may speak fluently but have difficulty understanding spoken or written language.
B) Talk but do not comprehend: Receptive aphasia is characterized by the ability to produce speech fluently but with impaired comprehension. Patients can talk and may produce coherent-sounding speech, but they struggle to understand others' speech and may not grasp the meaning of what they are saying.
C) No alteration in speech and language: Receptive aphasia involves specific alterations in speech and language, particularly in comprehension. While speech may be fluent, the content often lacks meaning or coherence, and comprehension is significantly impaired.
D) Comprehend but not able to talk: This description aligns more with expressive aphasia (Broca's aphasia), where patients have difficulty producing speech but generally retain comprehension abilities. Receptive aphasia affects comprehension while allowing relatively intact speech production.

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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 client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding?

Correct Answer is C

Explanation

A patient is diagnosed with Receptive Aphasia. The nurse understands this patient can:

Correct Answer is B

Explanation

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