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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?



A.

Glucose

B.

BUN

C.

Thyroid-stimulating hormone

D.

Liver function

Answer and Explanation

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 {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

  • Liver Function Tests: Improved
    The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.

  • Edema: Improved
    The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.

  • Fetal Heart Rate and Variability: Declined
    The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.

  • Headache: Improved
    The reduction in headache pain from a score of 8 to 2 indicates improvement.

  • Epigastric Discomfort: Improved
    The absence of epigastric pain on Day 2 suggests improvement.

  • Urine Dipstick: Not Changed
    The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.

Correct Answer is D

Explanation

Rationale:

A. A heart rate of 130/min is elevated and may indicate continued dehydration or stress. It does not necessarily indicate the effectiveness of oral rehydration therapy.

B. A capillary refill greater than 3 seconds indicates poor perfusion and ongoing dehydration. It does not indicate the effectiveness of oral rehydration therapy.

C. A respiratory rate of 24/min is within normal range for a 3-year-old child. It does not necessarily indicate the effectiveness of oral rehydration therapy.

D. A urine specific gravity of 1.015 indicates adequate hydration. Normal urine specific gravity typically ranges from 1.005 to 1.030, and a value closer to 1.015 indicates proper hydration

status. Therefore, this finding suggests that oral rehydration therapy has been effective in restoring fluid balance.

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