Question

a. What further assessments should the nurse perform on Jalissa? b. What laboratory tests would the nurse expect to be performedon Jalissa? c. What nursing interventions should be done for Jalissa? 2.B Aellai Gianopoulos, 13 years old, is brought to the clinic by her mother, who states that Aellai is losing her hair. Vital signs are as follows: T 98.4°F, HR 85,R 15, BP 121/78. Height is 64 in., and weight is 81.5 kg. Aellai has an olive complexion marred by acne, large brown eyes, and long black hair that is very thin on the top of her head. Her breasts are small, and she has an abundance of hair on her arms and legs. She reached puberty approximately 6 months ago. (Learning Objective1, 2, 3, 4, 5, 7, and 8) a. What other information should the nurse gather in thehealth history? b. What laboratory tests would the nurse expect to be ordered for Aellai? c. What should the nurse include in the teaching plan forAellai and her famil

Answer 1

2, Aellai having a symptoms of (PCOS) polycystic ovary syndrome..It is a hormonal disorder..it affects the woman at reproductive age..High risk groups are indigenous woman..
Polycystic suggest many symptoms ,some women may not have all set of symptoms at a time..cystic is not actually cyst in the ovary,it is focused on formation of follicles which contain an egg..Girls usually get symptoms of irregular period or delay period..Acne on the face and body,loss of hair,dark skin patches and also psychological effects like depression and anxiety is common..They have low self-esteem due to their appearance..Fertility impact their mood..
a, Nurse should include the family history,because mother or sister those who have Type 2 diabetes have symptoms of PCOS..From mother easily daughter can get this disease..It is complex and involve multiple genes..Assess her sleep pattern because women with PCOS develop with the disorder of sleep apnea..Ask parents about her mood changes and activity level, diet pattern..collect the history of any thyroid disorder,tumors in her body..
b, Lab test:
-Follicle -stimulating hormone(FSH),it might be lower for girls with PCOS.
- Luteinizing hormone(LH) it might be higher for girls with PCOS.
- Testosterone (sex hormone) higher for girls with PCOS
- Estrogen level may be higher for the woman with PCOS
- sex hormone binding globulin (SHBG) lower than normal
- Androstenedione will be higher for PCOS..
-Anti-Mullerian hormone(AMH) will be higher than normal..this is for how well the ovary is working..
-Lipid profile to know the cholesterol level..PCOS at risk for hear disease.
-Glucose test. PCOS people mostly get diabetes risk.
-Insulin level,woman with PCOS have insulin resistance can lead to diabetes..
c, Patient education:
- Life style modification like limiting the processed food and adding whole grain,fruits,vegetables and lean meat in her diet helps to control her weight..
- Advice to do exercise regularly it helps lower the blood glucose, improve body's use of insulin and normal the hormone level..
-Advice to continue the medication as per doctor order..
- Advice to meet dermatologist or cosmetologist for hair treatment and skin treatment for correcting the acne,and hair loss..
-Advice family to understand the patient mood changes and psychotherapy will be helpful if symptoms go worst..