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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Using disinfectant to clean the blood pressure cuff after use is an appropriate infection control measure. It reduces the risk of cross-contamination between clients by ensuring medical equipment is sanitized.
Choice B rationale
Double-bagging a client's linens each day is not necessary unless the linens are heavily soiled or contaminated with pathogens. Routine double-bagging is not an effective infection control practice and is resource-intensive.
Choice C rationale
Wearing sterile gloves when bathing a client who is incontinent is unnecessary. Non-sterile gloves are sufficient for this task, and sterile gloves should be reserved for surgical or invasive procedures to maintain sterility.
Choice D rationale
Rinsing contaminants from a bedpan with hot water can create aerosols that spread pathogens. Proper protocol involves cleaning and disinfecting the bedpan with appropriate solutions to ensure infection control. .
Correct Answer is C
Explanation
Choice A rationale
Stating that the client's condition is stable right now is a breach of patient confidentiality and does not comply with privacy regulations.
Choice B rationale
Telling the employer that the nurse will inform the client about the call is also a breach of confidentiality, as it implies that the client is indeed there.
Choice C rationale
Responding with "I cannot confirm or deny that we have a client by that name" is an appropriate and professional way to protect patient confidentiality and comply with privacy laws.
Choice D rationale
Stating that the client is in the hospital but not providing further details still reveals the client's location, which breaches patient confidentiality and privacy regulations. .
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