The nurse is caring for an Olympic athlete who reports she has ...

[Bob-Dole]

The nurse is caring for an Olympic athlete who reports she has not had a menstrual cycle for 6 months, ever since she started training for the next Olympic tryout. The nurse suspects the cause of this patient's amenorrhea is what?
 
  A) Hypothalamus is not releasing gonadotropin-releasing hormone (GnRH)
  B) Absence of estrogen production
  C) Increased production of follicle-stimulating hormone (FSH)
  D) Decreased production of progesterone

Question 2

The nurse is caring for a resident in a long-term care facility who is African American with a history of an anxiety disorder. The patient is receiving oral lorazepam (Ativan) 2 mg t.i.d.
 
  When developing this patient's plan of care, what priority assessment will the nurse include? A) Depression
  B) Extreme sedation
  C) Phlebitis
  D) Nightmares

[sarahccccc]

Answer to Question 1

A
Feedback:
Enormous amounts of energy are expended in reproduction, and if the body needs energy for other reasons, such as this patient's tremendous energy output while training, the hypothalamus shuts down the reproductive activities, stopping the release of GnRH, which results in no FSH or luteinizing hormone (LH) release and no stimulation of the follicles. Estrogen and progesterone production are not impacted and FSH production decreases.

Answer to Question 2

B
Feedback:
Special care should be taken when anxiolytic or hypnotic drugs are given to African Americans. About 15 to 20 of African Americans are genetically predisposed to delayed metabolism of benzodiazepines. As a result, they may develop high serum levels of these drugs, with increased sedation and an increased incidence of adverse effects. Depression is not a common adverse effect. Phlebitis can occur at injection sites but this patient is taking the medication orally. Nightmares occur during drug withdrawal.

[Bob-Dole]

TYSM

[nanny]

Excellent