A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

Thin, gray-white vaginal discharge

Difficulty with urination

Irregular bleeding with vaginal dryness

Painless lumps in the vaginal area

Answer and Explanation

The Correct Answer is C

Choice A reason: Thin, gray-white discharge suggests infection like bacterial vaginosis, not menopause. Menopause features dryness, not discharge, making this unrelated to hormonal decline, excluding it as a trigger for menopause education in this case fully here.
Choice B reason: Urinary difficulty may relate to aging or prolapse, not directly menopause. While estrogen loss can affect the urethra, it’s less specific than vaginal symptoms, rendering it secondary for menopause-focused education entirely and accurately here.
Choice C reason: Irregular bleeding and vaginal dryness are hallmark menopause signs, from estrogen drop. Perimenopause causes erratic periods, and dryness reflects atrophy, making this the key finding for targeted menopause education comprehensively and accurately here.
Choice D reason: Painless vaginal lumps suggest cysts or tumors, not menopause. These structural issues lack hormonal ties to estrogen decline, excluding them as menopause indicators needing education compared to bleeding and dryness fully here entirely.

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Correct Answer is C

Explanation

Choice A reason: The base of the skull houses occipital nodes, not submental ones, which drain the lower face. Palpating here misses the submental region, irrelevant to sinus or throat infections, misaligning with lymphatic drainage patterns in this case.

Choice B reason: The angle of the jaw targets submandibular nodes, not submental, which sit midline under the chin. This area drains the jaw and mouth but not specifically the submental zone tied to the client’s symptoms directly.

Choice C reason: Behind the chin tip is the submental node location, draining the lower lip, tongue, and anterior mouth. With sinus and throat infection, this spot is key for detecting lymphadenopathy linked to the client’s fever and elevated WBC.

Choice D reason: Behind the ears assesses postauricular nodes, unrelated to submental drainage of the chin and mouth. This misses the infection’s likely lymphatic response, focusing on a region not typically involved in sinus or throat pathology here.

A. Review the client's medication regimen B. Have the client provide a 24-hr diet recall C. Prepare the client for a thyroid screening D. Assess the client's cranial nerve function

Correct Answer is D

Explanation

Choice A reason: Medications like antipsychotics can cause tremors, but tongue fasciculations often signal neurological issues, not just drug effects. Reviewing regimen is secondary to assessing cranial nerve XII (hypoglossal), which controls tongue movement, for a more immediate etiology here.

Choice B reason: Diet recall might explore nutritional deficits, but tongue fasciculations tie to nerve or muscle pathology, not food intake. This lacks a direct link to neurological signs, making it less relevant than assessing nerve function for this specific finding fully.

Choice C reason: Thyroid issues cause coarse tremors, not fine fasciculations, which are more neuromuscular. Preparing for screening diverts from the priority of cranial nerve XII assessment, misaligning with the neurological basis of tongue movement observed in this examination entirely.

Choice D reason: Fasciculations suggest cranial nerve XII dysfunction, like in ALS or stroke, affecting tongue motor control. Assessing cranial nerves, especially hypoglossal, directly targets the finding’s neurological root, making it the best response to evaluate this abnormality accurately and promptly.

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A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

While examining a client's mouth the nurse notes the presence of fasciculations, fine tremors of the client's tongue. How should the nurse best respond to the assessment finding?

Correct Answer is D

Explanation

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