A nurse is teaching a client about the manifestations of menopause. Which of the following findings should the nurse include?
Increased sexual desire
Decreased bone density
Decreased sweating
Increased vaginal secretions
The Correct Answer is B
A. Increased sexual desire: Menopause typically leads to a decrease in sexual desire due to the reduction in estrogen levels. This hormonal shift can cause physical changes such as vaginal dryness and discomfort, further impacting libido.
B. Decreased bone density: Estrogen plays a crucial role in maintaining bone density, and its decline during menopause accelerates bone resorption. This results in decreased bone mass and an increased risk of osteoporosis and fractures.
C. Decreased sweating: Hot flashes, characterized by sudden increases in body temperature followed by sweating, are a hallmark symptom of menopause. These occur due to changes in the hypothalamus's regulation of temperature, often triggered by fluctuating estrogen levels.
D. Increased vaginal secretions: As estrogen levels decrease during menopause, vaginal tissues become thinner and less lubricated. This often results in vaginal dryness and discomfort, which can cause pain during intercourse and increase the risk of infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Magnetic resonance imaging (MRI) of the abdomen: An MRI is a safe diagnostic procedure for clients with reduced kidney function, as it does not involve the use of nephrotoxic contrast material. This is typically safe for clients with kidney issues.
B. Kidney, ureter, bladder (KUB) radiograph: A KUB radiograph is a simple X-ray of the abdomen and does not involve contrast. It is safe for clients with reduced kidney function and can be used to assess the kidneys and urinary system.
C. Renal ultrasound: A renal ultrasound is a non-invasive imaging procedure that uses sound waves to assess kidney structure and function. It does not require contrast and is safe for clients with reduced kidney function.
D. CT scan with contrast: Contrast material can be nephrotoxic, especially in clients with reduced kidney function. This can lead to contrast-induced nephropathy, which should be avoided or carefully managed in patients with kidney impairment.
Correct Answer is B
Explanation
A. Water pitcher on client's bedside table: Water does not require special handling after chemotherapy. The nurse should ensure that the client has access to clean drinking water, but there are no special precautions for handling it.
B. Client's urine in the bedside commode: Client's urine after chemotherapy requires special handling, as it may contain cytotoxic drugs or their metabolites for up to 48 hours. Proper precautions, such as wearing gloves and using appropriate disposal methods, are necessary to avoid exposure.
C. Client's bed linens after use: Bed linens do not require special handling unless contaminated with bodily fluids such as urine or vomit that could contain chemotherapy drugs. Gloves should be worn, but no additional precautions are required unless the linens are contaminated.
D. Food tray and utensils from client's breakfast: Food trays and utensils do not require special handling after chemotherapy unless they are contaminated with body fluids. Normal cleaning and sanitation practices are sufficient.
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