A nurse is reinforcing teaching with a client who is perimenopausal.
Which of the following statements by the client indicates an understanding of the teaching?
"I might have headaches due to a decline in my estrogen levels.”.
"I should stop receiving Papanicolaou tests once I reach menopause.”.
"I can expect to have regular periods until I am in menopause.”.
"The best time to perform a breast self-examination is on the first day of my period.”.
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Drinking citrus juice with meals can irritate the bladder and exacerbate urinary incontinence due to the high acidity in citrus fruits. It is not recommended for individuals with urinary incontinence.
Choice B rationale
Training the bladder by voiding every 5 hours is too infrequent for most individuals. Bladder training usually involves more frequent voiding intervals to gradually increase the bladder's capacity to hold urine.
Choice C rationale
Applying adult diapers at bedtime can be useful in managing nighttime incontinence but does not address the underlying issue or provide a long-term solution for urinary incontinence.
Choice D rationale
Performing pelvic-muscle exercises, also known as Kegel exercises, can strengthen the pelvic floor muscles and improve bladder control, making it an effective method for managing urinary incontinence.
Correct Answer is D
Explanation
Choice A rationale
Cleaning the hearing aid with isopropyl alcohol is not recommended as it can damage the device. Proper cleaning methods involve using specialized cleaning tools and gentle cleaning solutions.
Choice B rationale
Turning the hearing aid off for 5 minutes is not likely to resolve the whistling sound, which is often caused by feedback issues that need to be addressed through other means such as adjusting the fit or volume.
Choice C rationale
Soaking the hearing aid in warm water is inappropriate and can cause irreparable damage. Hearing aids are electronic devices and should not be submerged in water.
Choice D rationale
Decreasing the volume on the hearing aid can help reduce the whistling sound, which is commonly caused by feedback. Proper fitting and volume adjustments are key to preventing this issue.
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