A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?

Elevated blood pressure above 140/90

Report of dryness with vaginal intercourse

Report of urinary retention

Elevated body temperature above 37.8° C (100° F)

Answer and Explanation

The Correct Answer is B

A.   Elevated blood pressure above 140/90. While hypertension can occur in middle age, it is not specifically associated with perimenopause.
B.   Report of dryness with vaginal intercourse. Vaginal dryness is a common symptom of perimenopause due to decreasing estrogen levels.
C.   Report of urinary retention. Urinary symptoms in perimenopause more commonly include frequency and urgency, rather than retention.
D.   Elevated body temperature above 37.8° C (100° F). While hot flashes are common during perimenopause, they do not typically cause a sustained elevated body temperature.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

A. Three to seven days after menses stops B. Prior to the beginning of menses C. On the second day of menstruation D. On the same day every month

Correct Answer is A

Explanation

A. Three to seven days after menses stops. This is the best time to perform BSE as the breasts are least likely to be swollen and tender during this period.
B. Prior to the beginning of menses. Breasts are more likely to be swollen and tender before menstruation, which can make it harder to detect abnormalities.
C. On the second day of menstruation. During menstruation, hormonal changes can affect breast tissue, making the examination less reliable.
D. On the same day every month. For those with regular menstrual cycles, it is recommended to perform BSE a few days after menses stops for more accurate results.

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A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?

Correct Answer is A

Explanation

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