A nurse assesses a female client who presents with hirsutism. Which question would the nurse ask when assessing this client?

Correct Answer: B

Rationale: The correct answer is B: How do you feel about yourself? This question is important because hirsutism, excessive hair growth in women, can have significant psychological implications affecting self-esteem and body image. By asking how the client feels about herself, the nurse can address emotional and mental health concerns related to hirsutism. A: How do you plan to pay for your treatments? This question is not directly related to the client's emotional well-being and does not address the psychological impact of hirsutism. C: What medications are you prescribed? This question focuses on the medical management of hirsutism but does not address the client's emotional response to the condition. D: What are you doing to prevent this from happening? This question is more about preventive measures for hirsutism rather than addressing the client's feelings and self-perception.

Correct Answer: D

Rationale: The correct answer is D: Propranolol. Propranolol is a beta-blocker that is commonly used for migraine prophylaxis. It helps reduce the frequency and severity of migraines by blocking the action of adrenaline on blood vessels in the brain. In this case, the patient has elevated blood pressure and migraines, so starting her on propranolol can address both issues effectively. Choice A: Clonidine is an alpha-2 agonist used for hypertension, but it is not commonly used for migraine prophylaxis. Choice B: Prazosin is an alpha-1 blocker primarily used for the treatment of hypertension, but it is not typically used for migraine prophylaxis. Choice C: Hydrochlorothiazide is a diuretic used for hypertension by reducing blood volume, but it is not effective for migraine prophylaxis. In summary, propranolol is the most appropriate choice as it addresses both the elevated blood pressure and the recurrent

Correct Answer: D

Rationale: The correct answer is D because parathion is not a parasympathomimetic drug; it is an organophosphorus insecticide. Physostigmine (A), Neostigmine (B), and Edrophonium (C) are all parasympathomimetics used for their respective therapeutic purposes. Physostigmine is used in glaucoma to reduce intraocular pressure, Neostigmine is used to treat postoperative urinary retention by improving bladder emptying, and Edrophonium is used in the diagnosis of myasthenia gravis by temporarily improving muscle strength. In contrast, parathion is not a medication but a toxic substance used in insecticides, and it does not have any therapeutic use as a parasympathomimetic drug.

Correct Answer: D

Rationale: Correct Answer: D. Increases blood flow to the injection area. Rationale: 1. Adrenaline is a vasoconstrictor that reduces blood flow in the injection area. 2. By constricting blood vessels, adrenaline limits the absorption of the local anesthetic, leading to prolonged local action. 3. Adrenaline also helps in reducing the systemic toxicity of the local anesthetic by limiting its absorption. 4. Therefore, the correct answer is D as adrenaline does not increase blood flow to the injection area.

Correct Answer: A

Rationale: The correct answer is A: Excessive salivation. Atropine is an anticholinergic medication that blocks the action of acetylcholine, leading to decreased secretions including saliva. Excessive salivation is not an adverse effect but rather a therapeutic effect of atropine. Choices B, C, and D are incorrect because retention of urine, sinus tachycardia, and constipation are known adverse effects of atropine due to its anticholinergic properties.