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 A
Explanation
Choice A rationale
Oral contraceptives are often used in the treatment of PCOS to restore menstrual regularity. They do this by regulating the hormonal imbalances that cause the irregular periods seen in PCOS678910.
Choice B rationale
While oral contraceptives can indirectly lead to ovulation in some women with PCOS by regulating their menstrual cycles, they are not typically used to directly induce ovulation. Other medications, such as clomiphene or letrozole, are more commonly used for this purpose.
Choice C rationale
While insulin resistance is a common feature of PCOS, oral contraceptives are not typically used to improve insulin uptake. Other medications, such as metformin, are more commonly used for this purpose.
Choice D rationale
While oral contraceptives can help alleviate hirsutism (excessive hair growth) in women with PCOS by reducing levels of circulating androgens, this is typically considered a secondary benefit rather than the primary rationale for their use.
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.
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