The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Negative pregnancy test

Prothrombin time of 40 seconds

Hemoglobin level of 10.1 g/dl

Serum cholesterol of 140 mg/dl

Answer and Explanation

The Correct Answer is B

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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Correct Answer is B

Explanation

Choice A rationale
Smoking has been associated with an increased risk of developing endometriosis. It is thought that certain substances found in tobacco smoke may have a role in the development or progression of endometriosis14.
Choice B rationale
Regular exercise has been associated with a decreased risk of endometriosis. Physical activity may influence the body’s production of estrogen, a hormone that is thought to play a role in endometriosis14.
Choice C rationale
A higher body mass index (BMI) has been associated with a decreased risk of endometriosis. It is thought that body fat may influence the levels of hormones such as estrogen in the body14.
Choice D rationale
Age is a risk factor for endometriosis, with the condition being more common in women in their 30s and 40s. However, endometriosis can occur in any woman who has menstrual periods14.

A. Smoking cigarettes and drinking wine will not affect my sperm count. B. I was treated with antibiotics for trichomoniasis in my late teens, so it should not affect my ability to conceive now. C. We should engage in unprotected intercourse three weeks after her menstrual period when we decide to conceive. D. If my husband regularly uses the hot tub, it will decrease his sperm count.

Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

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The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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