The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?
Negative pregnancy test
Prothrombin time of 40 seconds
Hemoglobin level of 10.1 g/dl
Serum cholesterol of 140 mg/dl
The Correct Answer is B
Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.
Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Theca-lutein cysts are not commonly found in females of reproductive age. They are often associated with conditions that cause high levels of human chorionic gonadotropin, such as molar pregnancies.
Choice B rationale
Corpus luteum cysts can occur in women of reproductive age, but they do not typically regress with the menstrual cycle. Instead, they usually resolve after a few weeks if pregnancy does not occur.
Choice C rationale
Follicular cysts are commonly found in females of reproductive age and often regress with the menstrual cycle. They form when the follicle that normally releases an egg does not open to release the egg.
Choice D rationale
Polycystic ovarian syndrome is a condition characterized by multiple small cysts in the ovaries, but it does not typically cause cysts that regress with the menstrual cycle.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale
The cervical cap is a barrier method of contraception, not a hormonal method. It is a small, thimble-shaped cup made of silicone that is inserted into the vagina before sex to prevent pregnancy.
Choice B rationale
Depo Provera is a hormonal method of contraception. It is an injection of the hormone progestin that is given every three months to prevent pregnancy.
Choice C rationale
The diaphragm is a barrier method of contraception, not a hormonal method. It is a shallow, dome-shaped cup with a flexible rim that is inserted into the vagina before sex to cover the cervix and prevent pregnancy.
Choice D rationale
The intrauterine device (IUD) can be a hormonal method of contraception. Hormonal IUDs release progestin into the uterus to prevent pregnancy.
Choice E rationale
The vaginal ring is a hormonal method of contraception. It is a small, flexible ring that is inserted into the vagina. It releases estrogen and progestin to prevent pregnancy
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