While at a woman's health clinic a healthy 56-year-old female client tells the nurse that she thinks she is starting the menopausal phase of her life. The nurse should instruct the client that she may experience
Dysuria
Dyspareunia
urinary frequency.
vaginal discharge.
The Correct Answer is B
A) Dysuria: Dysuria, or painful urination, is not typically associated with menopause. It is more commonly linked to urinary tract infections or other urinary tract conditions.
B) Dyspareunia: Dyspareunia, or pain during intercourse, is a common symptom experienced during menopause. Decreased estrogen levels can lead to vaginal dryness and thinning of vaginal tissues, contributing to discomfort during sexual activity.
C) Urinary frequency: While urinary frequency can be a symptom of various conditions, it is not a primary symptom of menopause. However, changes in estrogen levels can sometimes impact urinary function, but it is less common than symptoms like dyspareunia.
D) Vaginal discharge: Vaginal discharge is usually not a symptom of menopause. Instead, menopause is often associated with reduced vaginal discharge or dryness due to decreased estrogen levels. Increased discharge could indicate other issues such as infections or hormonal imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Obtunded: Obtunded describes a state where a person has reduced alertness and is difficult to arouse but can respond to stimuli, such as verbal commands or physical touch. The client’s eyes remain closed and they are unresponsive to all stimuli, which is more severe than obtunded.
B. Stupor: Stupor is a condition where a person is in a near-unconscious state and responds only to vigorous or painful stimuli. Although the client is unresponsive to all stimuli, stupor usually involves some minimal response to pain or other strong stimuli, which doesn’t match the complete unresponsiveness described.
C. Coma: A coma is a profound state of unconsciousness where a person is unresponsive to all stimuli, including verbal, visual, and painful stimuli, and their eyes remain closed. This description matches the client’s condition of being unresponsive and with closed eyes.
D. Lethargy: Lethargy is characterized by excessive drowsiness or a reduced level of consciousness where the individual can be aroused with minimal effort. This state does not accurately describe a client who is unresponsive to all stimuli and whose eyes remain closed.
Correct Answer is C
Explanation
A. Bell's palsy: Bell's palsy is characterized by sudden, unilateral facial weakness or paralysis. It does not cause the specific physical signs described in the question, such as a "moon" face, buffalo hump, or velvety discoloration around the neck.
B. Myxedema: Myxedema is associated with severe hypothyroidism and can lead to symptoms such as facial swelling and changes in skin texture, but it does not typically cause a round face, buffalo hump, or velvety neck discoloration. The velvety discoloration around the neck is more characteristic of insulin resistance rather than hypothyroidism.
C. Cushing's syndrome: Cushing's syndrome is caused by excess cortisol and is known for the characteristic signs described. A "moon" face, buffalo hump, and skin changes such as velvety discoloration (often termed "acanthosis nigricans") are hallmark features of this condition. These symptoms align with the body’s response to prolonged high levels of cortisol.
D. Scleroderma: Scleroderma involves skin thickening and tightening, primarily affecting the hands and face, but it does not typically cause a "moon" face, buffalo hump, or velvety neck discoloration. The changes in scleroderma are more related to skin fibrosis and less to the specific physical features listed.
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