Author Question: A nurse is examining a client with a potential of polycystic ovarian syndrome. The nurse knows that ... (Read 27 times)

sjones · **on:** Jun 27, 2018

A nurse is examining a client with a potential of polycystic ovarian syndrome. The nurse knows that which diagnostic is the most important indicator to support a diagnosis of polycystic ovarian syndrome?

1. Total estrogen level
2. Waist to chest ratio
3. Hyperandrogenism
4. Hypoinsulinemia

Question 2

Which patient statement on cultural or religious influences on nutrition requires intervention by the nurse?

1. My grandmother makes sure I eat a serving of greens each day.
2. I avoid milk and meat together at meals because I am Jewish.
3. My auntie sent me clay from the South to eat every day.
4. Because I am Muslim, I do not ever eat any pork products.

annierak · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Explanation: 3. Hyperandrogenism, as women with PCOS consistently have elevated serum androgen levels. These elevated androgen levels often lead to clinical manifestations such as hirsutism (excessive hair growth), acne, deepening voice, and increased muscle mass.

Answer to Question 2

3
Rationale 1: Greens, such as collard greens and spinach, have high amounts of folic acid, and are healthy foods to eat during pregnancy.
Rationale 2: A kosher diet involves avoiding pork and shellfish, and not eating dairy and meat at the same meal.
Rationale 3: The ingestion of non-nutritive food sources such as clay is called pica. The clay, being a type of soil, can be contaminated with hazardous substances, and should be avoided. Some African Americans, especially those from the South, practice clay-eating pica.
Rationale 4: Dietary restrictions in the Muslim tradition include avoidance of pork. Because other meats are eaten, the patient is not at risk for protein or iron deficiency.