A nurse is reinforcing teaching with a client who is perimenopausal.
Which of the following statements by the client indicates an understanding of the teaching?

The correct answer is Constipation / Opioid use.

Constipation is a common side effect of opioid use. The client is receiving oxycodone for pain management, which can slow down the digestive system, leading to constipation.

Pressure injuries, also known as pressure ulcers or bedsores, are a risk due to prolonged immobility. This is especially relevant for a client who is postoperative and has limited movement. However, this was not selected as the primary condition based on the given clues.

Hypoglycemia (low blood sugar) is not directly indicated by the client's current medications or conditions. The client is receiving IV dextrose, but there is no indication of a risk of hypoglycemia in the provided information.

Confusion can occur in clients with cognitive impairments or due to medication side effects, but it is not specifically indicated as a primary risk in this case.

Dysrhythmias (abnormal heart rhythms) can be caused by imbalances in potassium or sodium levels, among other factors, but there is no evidence of such imbalances or related symptoms in this client’s case.

Choice A rationale

Declining estrogen levels during perimenopause can indeed cause headaches. Estrogen influences neurotransmitters like serotonin, and its decline can lead to vasodilation, contributing to headaches.

Choice B rationale

Papanicolaou tests should continue even after menopause. Cervical cancer risk persists, and regular screening remains essential for early detection.

Choice C rationale

Perimenopause involves irregular periods. It's common for menstrual cycles to become erratic before they eventually cease at menopause.

Choice D rationale

The best time for a breast self-examination is after menstruation ends, when breasts are less tender and swollen. Doing it on the first day of the period is not recommended.