The nurse is interviewing an adolescent patient. The patient ...

[sam.t96]

The nurse is interviewing an adolescent patient. The patient reports a weight loss of 50 pounds over the last 4 months, and reports running at least 5 miles per day. The patient asserts that her menarche was 5 years ago.
 
  Her menses are usually every 28 days, but her last menstrual period was 4 months ago. The patient denies any sexual activity. Which statement is best for the nurse to make? 1. Your lack of menses might be related to your rapid weight loss.
  2. It is common and normal for runners to stop having any menses.
  3. Increase your intake of iron-rich foods to re-establish menses.
  4. Adolescents rarely have regular menses, even if they used to be regular.

Question 2

The primiparous client has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which statement would be best for the nurse to make?
 
  1. It is not unusual for women to develop hemorrhoids during pregnancy.
  2. Most women don't have any problem until after they've delivered.
  3. If your mother had hemorrhoids, you will get them, too.
  4. If you get hemorrhoids, you probably will need surgery to get rid of them.

[mochi09]

Answer to Question 1

1
Rationale 1: Secondary amenorrhea can be caused by rapid weight loss, including the development of the eating disorders anorexia and bulimia. Runners with low body fat might have irregular menses, but amenorrhea is not a normal condition.
Rationale 2: It is common for runners to have amenorrhea, but it is not normal.
Rationale 3: Iron deficiency does not impact menstrual regularity.
Rationale 4: Although the first year or two after menarche might be characterized by irregular menses, once menses are established and regular, a lack of menses is secondary amenorrhea.

Answer to Question 2

1
Explanation: 1. Many pregnant women will develop hemorrhoids. Hemorrhoids are varicosities of the veins in the lower end of the rectum and anus. During pregnancy, the gravid uterus presses on the veins and interferes with venous circulation. As the pregnancy progresses, the straining that accompanies constipation can contribute to the development of hemorrhoids.

[sam.t96]

Excellent

[peter]

Gracias!