What symptoms should a nurse assess for in a woman experiencing irregular menses over the past six months?

Correct Answer: C

Rationale: The correct answer is C: perimenopause. Perimenopause is the transitional phase leading to menopause, characterized by irregular menstrual cycles. Climacteric refers to the period of reproductive senescence, not just irregular menses. Menopause is the cessation of menstruation for 12 consecutive months. Postmenopause is the period after menopause, not characterized by irregular menses. Assessing for symptoms of perimenopause in a woman with irregular menses over the past six months is important to understand the hormonal changes and potential menopausal symptoms she may be experiencing.

Correct Answer: D

Rationale: The correct answer is D: cirrhosis. Cirrhosis leads to impaired liver function, causing the liver to be unable to effectively metabolize ammonia, leading to high ammonia levels in the blood. Renal failure (choice A) is associated with high creatinine levels, not ammonia. Psoriasis (choice B) is a skin condition unrelated to ammonia levels. Lupus (choice C) is an autoimmune disease affecting various organs, not directly linked to high ammonia levels. In summary, cirrhosis is the only condition among the options that directly impacts liver function and can lead to high ammonia levels in the blood.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Calling the physician shows respect for the client's request and ensures safety. 2. Consulting the physician is important to consider any potential contraindications. 3. Ginger is a common remedy for nausea and is safe for most pregnant individuals. 4. Collaborating with the physician ensures appropriate care for the client's specific needs. Summary of Incorrect Choices: - B: Dismissing home remedies may not align with the client's cultural beliefs or preferences. - C: Herbs can be effective and safe alternatives, and the client's request should be respected. - D: While dry crackers may help with nausea, they do not address the client's specific request for ginger.

Correct Answer: A

Rationale: The correct answer is A because assessing capillary refill indicates adequate blood flow, warm toes suggest good circulation, and no discomfort indicates proper alignment and fit of the cast. Choice B is incorrect as posterior tibial pulses are not directly related to cast assessment. Choice C is incorrect as moist skin and pain threshold are not specific to cast assessment. Choice D is incorrect as discomfort of the metacarpals is not a comprehensive assessment of a cast.

Correct Answer: B

Rationale: Rationale: 1. GERD: Lying down after eating can worsen symptoms due to acid reflux. Sitting up helps prevent acid reflux. 2. Dumping Syndrome: Lying down can exacerbate symptoms like nausea and dizziness. Sitting up aids in digestion. 3. Choice B recommends lying down 1 hour after eating for Dumping Syndrome and sitting up at least 30 minutes after eating for GERD, which aligns with the management of both conditions. Summary: - Choice A is incorrect as lying flat after meals worsens GERD and Dumping Syndrome symptoms. - Choice C is incorrect as sitting up only after meals does not address the specific needs of GERD and Dumping Syndrome. - Choice D is incorrect as lying down after meals is not recommended for either condition.