A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome. The nurse should plan to monitor which of the followinglaboratory values?
Glucose
BUN
Thyroid-stimulating hormone
Liver function
The Correct Answer is A
A. Glucose
Rationale:
A. Glucose monitoring is essential for clients with polycystic ovarian syndrome (PCOS) due to the increased risk of insulin resistance and diabetes.
B. Blood urea nitrogen (BUN) levels are not typically monitored specifically for PCOS.
C. Thyroid-stimulating hormone (TSH) levels may be assessed if there is suspicion of thyroid dysfunction but are not routinely monitored for PCOS.
D. Liver function tests are not typically indicated for routine monitoring in PCOS unless there are specific signs or symptoms of liver dysfunction.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Panting may be indicated if pushing is premature, but the sudden urge to push suggests the need to assess for crowning.
B. While assisting the client into a comfortable position may be appropriate, it's essential to first assess for signs of imminent delivery.
C. This action is crucial to determine if the client is fully dilated and ready for delivery.
D. Helping the client to void may relieve pressure on the bladder but does not address the sudden urge to push, which may indicate imminent delivery.
Correct Answer is B
Explanation
Rationale:
A. Obtain a type and crossmatch: While obtaining a type and crossmatch may be necessary in the event of significant hemorrhage, the first action should be to address the potential cause of hypotension, which could be uterine atony.
B. Evaluate the firmness of the uterus: Postpartum hypotension is often caused by uterine atony, so the first action should be to assess the firmness of the uterus and massage it to stimulate contraction if necessary.
C. Administer oxytocin infusion: Oxytocin infusion may be necessary to help contract the uterus and control bleeding, but it should be implemented after assessing uterine firmness.
D. Initiate oxygen therapy by nonrebreather mask: While oxygen therapy may be needed if the client is hypotensive due to hemorrhage, assessing uterine firmness is the priority action to address the potential cause of hypotension.
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