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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.
Correct Answer is B
Explanation
A. Hemophilia B results from a deficiency in clotting factor VIII. Hemophilia B results from a deficiency in clotting factor IX. Hemophilia A results from a deficiency in clotting factor VIII.
B. Males inherit hemophilia from their mothers. Hemophilia is an X-linked recessive disorder, meaning males inherit the defective gene from their carrier mothers.
C. Females inherit hemophilia from their fathers. Females can be carriers if they inherit the
defective gene from their mother, but they generally do not inherit the disease itself from their fathers due to the X-linked recessive inheritance pattern.
D. Hemophilia is a Y linked disorder. Hemophilia is not Y-linked; it is an X-linked recessive disorder.
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