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.”.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Cleaning the hearing aid with isopropyl alcohol is not recommended as it can damage the device. Proper cleaning methods involve using specialized cleaning tools and gentle cleaning solutions.

Choice B rationale

Turning the hearing aid off for 5 minutes is not likely to resolve the whistling sound, which is often caused by feedback issues that need to be addressed through other means such as adjusting the fit or volume.

Choice C rationale

Soaking the hearing aid in warm water is inappropriate and can cause irreparable damage. Hearing aids are electronic devices and should not be submerged in water.

Choice D rationale

Decreasing the volume on the hearing aid can help reduce the whistling sound, which is commonly caused by feedback. Proper fitting and volume adjustments are key to preventing this issue.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Choice A rationale:

While hoarseness can be a symptom of aspiration pneumonia, it is not a direct cause. Hoarseness alone does not necessarily lead to aspiration pneumonia.

Choice B rationale:

Coughing when eating is a direct risk factor for aspiration pneumonia. Coughing indicates that food or liquid may be entering the airway, which can lead to aspiration pneumonia.

Choice C rationale:

Dysphagia (difficulty swallowing) can be a risk factor for aspiration pneumonia, but in this case, the client's symptoms (coughing when eating and hoarseness) are more directly associated with aspiration pneumonia.

Choice D rationale:

While coughing when eating can be a symptom of dysphagia, the primary concern here is the risk of aspiration pneumonia due to the same symptom.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a hearing aid.Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?

Correct Answer is D

Explanation

A nurse is assisting with the care of a male client in the unit. Exhibits Complete the following sentence by using the list of options. The client is at risk for developing dropdown due to dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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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?