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?
"I might have headaches due to a decline in my estrogen levels.”.
"I should stop receiving Papanicolaou tests once I reach menopause.”.
"I can expect to have regular periods until I am in menopause.”.
"The best time to perform a breast self-examination is on the first day of my period.”.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Standing with the crutch tips against the feet is incorrect. Proper crutch placement involves positioning the crutches slightly forward and to the side of the feet to provide stability and prevent tripping.
Choice B rationale
Bearing weight on the unaffected leg is the correct instruction for using the three-point gait. This technique allows the client to move the crutches and the affected leg together while bearing weight on the unaffected leg, promoting balance and mobility.
Choice C rationale
Keeping the crutches at the level of the axillae is incorrect. Crutches should be positioned with a 1-2 inch gap below the axillae to prevent nerve damage and ensure proper support.
Choice D rationale
Holding the arms straight when walking is incorrect. The elbows should be slightly bent to allow for comfortable movement and better control of the crutches.
Correct Answer is C
Explanation
Choice A rationale
Placing the specimen in a clean specimen cup is not appropriate for a urine culture and sensitivity test. A sterile specimen cup is required to avoid contamination and ensure accurate results.
Choice B rationale
Removing 45 mL of urine from the catheter with a syringe is incorrect. Only 5-10 mL of urine is needed for a culture and sensitivity test, and excessive removal can lead to inaccurate test results or sample contamination.
Choice C rationale
Clamping the catheter tubing below the needleless port is the correct action. This allows urine to accumulate in the tubing, providing a fresh and uncontaminated sample for the culture and sensitivity test.
Choice D rationale
Clamping the catheter tubing for 60 minutes is too long and can cause urine stasis, increasing the risk of catheter-associated urinary tract infections. The tubing should be clamped only for a short duration to collect an adequate sample. .
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