Author Question: A nurse is reviewing the medical record of a client. Which of the following would lead the nurse to ... (Read 113 times)

burton19126 · **on:** Jun 27, 2018

A nurse is reviewing the medical record of a client. Which of the following would lead the nurse to suspect that the client is experiencing polycystic ovary syndrome? (Select all that apply.)

A) Decreased androgen levels
B) Elevated blood insulin levels
C) Anovulation
D) Waist circumference of 32 inches
E) Triglyceride level of 175 mg/dL
F) High-density lipoprotein level of 40 mg/dL

Question 2

The nurse is teaching a male patient about sildenafil citrate (Viagra) prescribed for erectile dysfunction. Which patient statement indicates that teaching has been effective?

A) A change in vision is to be expected..
B) This medication is birth control for men..
C) I can take this medication several times a day..
D) I should report to my health care provider an erection that lasts longer than 4 hours..

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

Answer to Question 1

B, C, E
Feedback:
Polycystic ovary syndrome is a multifaceted disorder, and central to its pathogenesis are hyperandrogenemia and hyperinsulinemia. PCOS is associated with obesity, hyperinsulinemia, elevated luteinizing hormone levels (linked to ovulation), elevated androgen levels (virilization), hirsutism (male-pattern hair growth), follicular atresia (ovarian growth failure), ovarian growth and cyst formation, anovulation (failure to ovulate), infertility, diabetes type 2, sleep apnea, amenorrhea (absence of menstruation or irregular periods), metabolic syndrome characterized by abdominal obesity (waist circumference >35 in.), dyslipidemia (triglyceride level >150 mg/dL, high-density lipoprotein cholesterol HDL-C level <50 mg>

Answer to Question 2

D
Feedback:
An erection lasting more than 4 hours can occur when taking sildenafil citrate (Viagra). This condition can lead to penile tissue damage and should be reported to a health care provider. A change in vision should be reported to the health care provider. Sildenafil citrate (Viagra) is not birth control. This medication should be taken up to one dose per day.