A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

Thin, gray-white vaginal discharge

Difficulty with urination

Irregular bleeding with vaginal dryness

Painless lumps in the vaginal area

Answer and Explanation

The Correct Answer is C

Choice A reason: Thin, gray-white discharge suggests infection like bacterial vaginosis, not menopause. Menopause features dryness, not discharge, making this unrelated to hormonal decline, excluding it as a trigger for menopause education in this case fully here.
Choice B reason: Urinary difficulty may relate to aging or prolapse, not directly menopause. While estrogen loss can affect the urethra, it’s less specific than vaginal symptoms, rendering it secondary for menopause-focused education entirely and accurately here.
Choice C reason: Irregular bleeding and vaginal dryness are hallmark menopause signs, from estrogen drop. Perimenopause causes erratic periods, and dryness reflects atrophy, making this the key finding for targeted menopause education comprehensively and accurately here.
Choice D reason: Painless vaginal lumps suggest cysts or tumors, not menopause. These structural issues lack hormonal ties to estrogen decline, excluding them as menopause indicators needing education compared to bleeding and dryness fully here entirely.

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Correct Answer is B

Explanation

Choice A reason: Chronic rhinitis affects nasal passages, not oral cancer risk, which ties to tobacco, alcohol, or HPV. This question targets sinus issues, missing key carcinogenic exposures or immunosuppression linked to squamous cell carcinoma in the mouth entirely here.

Choice B reason: Immunosuppressive therapy, like post-transplant drugs, raises oral cancer risk by impairing immune surveillance against HPV or malignant cells. This directly identifies a major risk factor, aligning with health promotion goals to detect oral cancer precursors effectively and accurately.

Choice C reason: Dental visit frequency reflects care access, not specific oral cancer risks like smoking. It’s indirect, missing direct links to immunosuppression or carcinogens, making it less effective for pinpointing etiology in a health promotion context fully here.

Choice D reason: Chewing or swallowing difficulty may signal advanced cancer, not risk factors. It’s a symptom, not a preventive focus, unlike immunosuppression, which precedes disease, reducing its utility for early identification in this educational assessment entirely and clearly.

A. The jugular venous pulse is visible when the client lies supine. B. The jugular veins are distended when the client sits at a 45-degree angle. C. The jugular venous pulse is not visible when the client is sitting upright. D. The jugular veins are fully distended when the client is in a high Fowler position.

Correct Answer is C

Explanation

Choice A reason: Visible jugular pulse supine is normal, as gravity pools venous blood. However, the question seeks upright findings. This is expected lying down, not sitting, misaligning with the healthy standard for an upright position in this context fully.

Choice B reason: Distended jugular veins at 45 degrees suggest elevated central venous pressure, like in heart failure, not health. In a healthy client, veins collapse at this angle, making this an abnormal, not expected, finding for jugular assessment here.

Choice C reason: No visible jugular pulse upright is normal in health, as venous pressure drops below the clavicle when sitting. This reflects proper heart function and gravity’s effect, aligning with expected findings in a healthy client’s neck vessel exam accurately.

Choice D reason: Full jugular distension in high Fowler’s (60-90 degrees) indicates pathology, like right heart failure, not health. Healthy veins collapse at this elevation, making this an abnormal finding, not the expected norm for jugular assessment entirely here.

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A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is integrating health promotion education into the assessment of a client's mouth, nose and throat. What interview question is most likely to identify a risk factor for oral cancer?

Correct Answer is B

Explanation

The nurse has begun the objective assessment of a client's heart and neck vessels and is assessing the client's jugular veins. What finding would the nurse consider to be expected in a healthy client?

Correct Answer is C

Explanation

A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

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