A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

A client who has acute tonsillitis, is drooling, and has difficulty swallowing

A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness

A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%

A client who has lower left abdominal pain and bloody stools

Answer and Explanation

The Correct Answer is A

A. A client who has acute tonsillitis, is drooling, and has difficulty swallowing: This client is likely experiencing severe swelling or an airway obstruction, which requires immediate attention to ensure the airway is not compromised.
B. A client who sustained a deep laceration to their leg and is complaining of dizziness and weakness: While this client has concerning symptoms, airway compromise is prioritized in triage.
C. A client who has chronic obstructive pulmonary disease (COPD) with a pulse oximetry reading of 88%: This client is hypoxic and requires prompt intervention, but airway issues take precedence.
D. A client who has lower left abdominal pain and bloody stools: This client may have a serious condition but does not require as immediate intervention as a compromised airway.

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Correct Answer is D

Explanation

A. Strict adherence to oral contraceptive use is necessary to maintain hormonal balance: This is incorrect. Oral contraceptives can help manage symptoms of PCOS by regulating menstrual cycles and reducing androgen levels, but they are not the only solution. Lifestyle modifications and weight loss can also significantly impact hormonal balance.
B. Surgical removal of ovarian cysts is the primary treatment for PCOS: This is incorrect. Surgery is not the primary treatment for PCOS. Management typically focuses on lifestyle changes and medications rather than surgical intervention.
C. PCOS cannot be managed, and no treatment options are available: This is incorrect. PCOS can be managed with a combination of lifestyle changes, medications, and, in some cases, surgical options.
D. Weight loss and lifestyle modifications can help improve PCOS symptoms: This is correct. Weight loss and lifestyle changes are fundamental in managing PCOS symptoms, as they can help improve insulin sensitivity and reduce androgen levels, which can alleviate symptoms and improve fertility.

A. Hormone therapy decreases the risk of cardiovascular events. B. Hormone therapy may prevent osteoporotic fractures. C. Hormone therapy should be taken in doses throughout the day. D. If a dose is missed, then the next dose should be doubled.

Correct Answer is B

Explanation

A. Hormone therapy decreases the risk of cardiovascular events: This is incorrect. Hormone therapy has been associated with an increased risk of cardiovascular events, such as heart attacks and strokes, especially in older women or those with preexisting risk factors.
B. Hormone therapy may prevent osteoporotic fractures: This is correct. Hormone therapy can help maintain bone density and reduce the risk of osteoporotic fractures, which is beneficial after a total hysterectomy.
C. Hormone therapy should be taken in doses throughout the day: This is incorrect. Hormone therapy is typically taken in a single daily dose or according to a specific schedule, rather than multiple times throughout the day.
D. If a dose is missed, then the next dose should be doubled: This is incorrect. Missing a dose of hormone therapy should be addressed according to the specific medication instructions, and doubling the dose is not generally recommended.

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A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the healthcare provider to care for first?

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Naxlex Comprehensive Predictor Exams

A client has been diagnosed with polycystic ovarian syndrome (PCOS). The nurse should encourage what health promotion activity to address the client's hormone imbalance and infertility?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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