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?

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.

Choice A rationale

Hypermagnesemia is less common with vomiting and diarrhea. These conditions usually cause a loss of magnesium rather than an excess.

Choice B rationale

Hyperkalemia is also less typical. Vomiting and diarrhea tend to cause potassium loss, leading to hypokalemia instead.

Choice C rationale

Hyponatremia is common as vomiting and diarrhea result in the loss of sodium and water, leading to low blood sodium levels.

Choice D rationale

Hypocalcemia is not a primary result of vomiting and diarrhea. Calcium levels are usually not directly affected by gastrointestinal fluid loss.