A client with Premenstrual dysphoric disorder (PMDD) asks how her condition differs from premenstrual syndrome (PMS). What is the nurse's best response?
“PMDD requires hormonal therapy, while PMS does not.”
“PMDD causes only physical symptoms, while PMS involves mood changes."
"PMDD symptoms resolve immediately after menstruation begins."
"PMDD is a more severe form of PMS that significantly interferes with daily functioning."
The Correct Answer is D
A. Hormonal therapy may be used for PMDD but is not a distinguishing factor from PMS.
B. PMDD involves both mood and physical symptoms, unlike PMS, which primarily involves physical symptoms.
C. PMDD symptoms may persist through the beginning of menstruation, unlike PMS, which typically resolves with the onset of the period.
D. Premenstrual dysphoric disorder (PMDD) is a more severe form of premenstrual syndrome (PMS) characterized by mood disturbances, irritability, and functional impairment that significantly affect a person’s ability to function in daily life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A level of 1.8 mEq/L is too high for initial treatment, as it is above the therapeutic range.
B. A level of 1.8 mEq/L is not within the maintenance treatment level, which is typically 0.6–1.2 mEq/L.
C. The level is above the therapeutic level, not below it.
D. A lithium level of 1.8 mEq/L is above the therapeutic range (0.6–1.2 mEq/L) and is considered toxic. Toxicity can lead to serious side effects like tremors, confusion, and renal dysfunction.
Correct Answer is A
Explanation
A. A lithium level of 1.0 mEq/L is within the therapeutic range (0.6 to 1.2 mEq/L). The nurse should administer the morning dose of lithium as prescribed.
B. While it is important to monitor for medication adherence, there is no indication from the current lithium level that this client is refusing the medication.
C. Gastric lavage is unnecessary, as the lithium level is not elevated enough to warrant this extreme intervention.
D. Early signs of lithium toxicity typically occur with levels above 1.5 mEq/L. Since the level is 1.0 mEq/L, the nurse should proceed with administering the medication.
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