A nurse in a healthcare provider's office is providing education to a client who has a new diagnosis of polycystic ovarian syndrome. Which of the following responses by the client indicates that the client understands the teaching?

My platelet count will be drawn monthly.

I will be checking my blood glucose levels frequently.

My kidney function should be closely monitored.

My thyroid-stimulating hormone levels will increase.

Answer and Explanation

The Correct Answer is B

A. My platelet count will be drawn monthly: This is incorrect. Monitoring platelet count is not specifically related to polycystic ovarian syndrome (PCOS). PCOS management focuses more on hormonal levels and metabolic health.
B. I will be checking my blood glucose levels frequently: This is correct. Clients with PCOS are at increased risk for insulin resistance and diabetes, so monitoring blood glucose levels is an important aspect of managing PCOS.
C. My kidney function should be closely monitored: This is incorrect. While kidney function is important in overall health, it is not specifically monitored in PCOS unless there are other underlying issues.
D. My thyroid-stimulating hormone levels will increase: This is incorrect. Thyroid-stimulating hormone levels are not directly affected by PCOS, though thyroid function should be evaluated if there are symptoms suggesting thyroid dysfunction.

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Correct Answer is C

Explanation

A. Initiate intravenous (IV) access for fluid replacement. This is important for managing shock or significant blood loss, but it is not the first priority in managing severe bleeding.
B. Place the client's arm in a dependent position. This would not be appropriate for severe bleeding and does not control hemorrhage effectively.
C. Apply pressure directly to the wound. This is correct. Direct pressure is the immediate and essential step to control bleeding in a severe wound. It helps to stabilize the clot and reduce blood loss.
D. Apply a tourniquet just below the level of the shoulder. This is not the first intervention. A tourniquet is used if direct pressure does not control severe bleeding and should be applied above the wound, not below.

A. A client who reports flank pain radiating to the groin B. A client who has multiple fractures C. A client with partial thickness burns to both hands D. A client who has a punctured femoral artery

Correct Answer is D

Explanation

A. A client who reports flank pain radiating to the groin: This could indicate renal colic or a kidney stone. While painful and concerning, it is not as immediately life-threatening as severe hemorrhage.
B. A client who has multiple fractures: Multiple fractures are serious but may not be as immediately life-threatening as severe hemorrhage or airway compromise.
C. A client with partial thickness burns to both hands: While painful and needing care, partial thickness burns are less critical compared to life-threatening hemorrhage.
D. A client who has a punctured femoral artery: This is an emergent situation because it involves severe hemorrhage. The femoral artery is a major artery, and puncture could lead to life-threatening blood loss and requires immediate intervention.

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A nurse in a healthcare provider's office is providing education to a client who has a new diagnosis of polycystic ovarian syndrome. Which of the following responses by the client indicates that the client understands the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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