The client reporting dry eyes, fatigue, poor sleep patterns, weight gain, and frequent urination may be experiencing what?
Depression
Fibromyalgia
Menopause
Dehydration
The Correct Answer is C
Choice A reason: This is not the correct answer. Depression is a mental disorder that affects the mood, thoughts, and behavior of the client. It causes persistent feelings of sadness, hopelessness, or emptiness, as well as loss of interest, motivation, or pleasure in activities. Depression may cause some physical symptoms, such as fatigue, insomnia, or weight changes, but it does not cause dry eyes or frequent urination.
Choice B reason: This is not the correct answer. Fibromyalgia is a chronic condition that affects the muscles, joints, and nerves of the client. It causes widespread pain, stiffness, and tenderness, as well as fatigue, sleep problems, and cognitive difficulties. Fibromyalgia may cause some symptoms that overlap with menopause, such as dry eyes or weight gain, but it does not cause frequent urination.
Choice C reason: This is the best answer. Menopause is the natural transition that occurs when the ovaries stop producing eggs and hormones, such as estrogen and progesterone. It causes the menstrual cycle to end, and the client to experience various physical and emotional changes. Menopause may cause symptoms such as dry eyes, fatigue, poor sleep patterns, weight gain, and frequent urination, as well as hot flashes, night sweats, mood swings, and vaginal dryness.
Choice D reason: This is not the correct answer. Dehydration is a condition that occurs when the body loses more fluid than it takes in. It causes the blood volume and pressure to drop, and the body to function less efficiently. Dehydration may cause symptoms such as fatigue, dry mouth, headache, and dizziness, but it does not cause dry eyes, weight gain, or frequent urination. In fact, dehydration may cause the opposite of frequent urination, which is reduced or dark urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not the most concerning factor. Poor nutritional habits may affect the client's physical health, but they are not directly related to the client's psychosocial well-being. The nurse can educate the client on the benefits of a balanced diet and provide nutritional counseling if needed.
Choice B reason: This is not the most concerning factor. A lack of exercise may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can encourage the client to engage in physical activity that suits their preferences and abilities, and provide exercise guidance if needed.
Choice C reason: This is the best answer. A low self-esteem may affect the client's mental and emotional health, and it is directly related to the client's psychosocial well-being. The nurse should assess the client's self-esteem and identify the factors that contribute to it, such as their self-image, self-talk, and self-efficacy. The nurse should also provide positive feedback, support, and empowerment to the client, and refer them to counseling or therapy if needed.
Choice D reason: This is not the most concerning factor. The need for long-term antibiotics may affect the client's physical health, but it is not directly related to the client's psychosocial well-being. The nurse can educate the client on the indications, side effects, and precautions of the antibiotics, and monitor the client's response and compliance to the medication.
Correct Answer is D
Explanation
Choice A reason: This is not a concerning finding for the nurse. Absence of tears when the infant cries is normal and expected in the first few months of life. The tear ducts and glands are not fully developed yet, and the infant does not produce enough tears to moisten the eyes or overflow the eyelids. The nurse should monitor the infant's hydration and eye health, but should not be alarmed by the absence of tears.
Choice B reason: This is not a concerning finding for the nurse. Presence of vernix caseosa at delivery is normal and expected in newborns, especially those born before 40 weeks of gestation. Vernix caseosa is a white, cheesy substance that covers the skin of the fetus in the womb. It protects the skin from the amniotic fluid and helps with temperature regulation and infection prevention. The nurse should gently wipe off the excess vernix caseosa, but should not try to remove it completely.
Choice C reason: This is not a concerning finding for the nurse. Presence of anterior and posterior fontanels is normal and expected in infants. Fontanels are soft spots on the skull where the bones have not yet fused together. They allow the skull to be flexible and accommodate the growing brain. The nurse should palpate the fontanels gently and assess their size, shape, and tension, but should not be worried by their presence.
Choice D reason: This is the concerning finding for the nurse. Absence of the rooting reflex is abnormal and unexpected in infants. The rooting reflex is an involuntary movement or response that the infant makes when the cheek or mouth is touched. The infant turns the head and opens the mouth, seeking the source of stimulation. The rooting reflex is essential for breastfeeding and feeding in general. The nurse should assess the infant's neurological status and consult with the physician if the rooting reflex is absent.
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