Author Question: A 40-year-old woman tells the nurse about having an excessively heavy menstrual flow and a feeling ... (Read 24 times)

D2AR0N · **on:** Jul 22, 2018

A 40-year-old woman tells the nurse about having an excessively heavy menstrual flow and a feeling of pressure in the pelvic region. The nurse should recognize the client's symptoms are the result of:

a. cervical dysplasia c. miscarriage
b. fibroids d. pelvic inflammatory disease (PID)

Question 2

A nurse provides care on the palliative unit of a busy hospital. The unit's mission statement makes explicit reference to the principle of dying with dignity. What action best demonstrates the principle of dying with dignity?

A) Encouraging clients to maintain hope until the end
B) Explicitly describing the stages of dying to clients and their families
C) Prioritizing clients' psychosocial and spiritual needs over their physical needs
D) Caring for clients with respect, regardless of the current state

elizabethrperez · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Fibroid uterine tumors occur most frequently in women over 30 and those who have not had children. Menorrhagia (excessive menstrual flow) is the primary manifestation; other symptoms include increasing pelvic pressure, dysmenorrhea, abdominal enlargement, and constipation.

Answer to Question 2

D
Feedback:
Dying with dignity means the process by which the nurse cares for dying clients with respect, no matter what their emotional, physical, or cognitive state. This does not always entail an emphasis on hope. Some clients and families may benefit from education on the stages of dying but this is not universally the case. It is simplistic to prioritize nonphysical needs at all times and for all clients.