The nurse is performing preprocedure teaching for a patient ...

[ereecah]

The nurse is performing preprocedure teaching for a patient scheduled to undergo a liver biopsy. After listening to the information, the patient states, I am so scared. I just don't know if I can do this procedure. Which response is best?
 
  a. The procedure will only last about 15 minutes.
  b. Most patients say it feels similar to a punch in the shoulder.
  c. You do not have to have the procedure.
  d. I understand that you are afraid. Tell me more about your concerns.

Question 2

The nurse is caring for a patient who has been experiencing infertility. Which statement indicates that the patient understands the impact of inadequate luteinizing hormone (LH) levels?
 
  a. Since luteinizing hormone maintains my secondary sex characteristics, low levels explain my small breasts.
  b. Low levels of luteinizing hormone cause the swelling I experience during my men-strual cycle.
  c. Low levels of luteinizing hormone cause my menstrual cycle irregularities.
  d. Since luteinizing hormone stimulates ovulation and progesterone production, low levels could cause infertility.

[raili21]

Answer to Question 1

D
The nurse should acknowledge the patient's feelings and promote therapeutic communication. While all of the other statements are true, none of them investigate the underlying cause of the patient's fear. Reassurance about the length of the procedure or the sensation that the patient might experience may be indicated after the patient explains more about specific concerns. While the patient can refuse to have the procedure, dismissing the patient is not an appropriate or the-rapeutic statement.

Answer to Question 2

D
LH is produced by the anterior pituitary gland. It targets the ovaries. LH stimulates ovulation and production of progesterone. LH does not affect maintenance of secondary sex characteristics, fluid retention, or menstrual cycle regularity.

[ereecah]

Gracias!

[tranoy]

Excellent