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 D
Explanation
A) "Let's stop and take your vital signs": While taking vital signs can be important, it might not address the immediate discomfort the client is experiencing from the deep palpation. This response may not fully address the need to pause the assessment in light of the client’s discomfort.
B) "We can take a break anytime": Offering a break is considerate, but it does not directly address the immediate situation. If the client is already in significant discomfort, it's more appropriate to stop the procedure entirely if the information gathered so far is sufficient.
C) "Keep taking deep breaths; you will be okay": Encouraging deep breathing may help manage some discomfort, but it doesn’t acknowledge the client's need to stop the procedure or the fact that the assessment may have already provided sufficient information.
D) "Let's stop: I have all of the information we need": Stopping the palpation when the client is experiencing pain or discomfort and when enough information has been obtained is the most appropriate response. It shows sensitivity to the client's pain and prioritizes their comfort, while also acknowledging that the assessment may have achieved its purpose.
Correct Answer is A
Explanation
A) Lordosis: Lordosis refers to an increased inward curvature of the lumbar spine. During pregnancy, this curvature often increases to help compensate for the growing uterus and shift the center of gravity. This adjustment helps maintain balance and alignment but can lead to noticeable changes in posture.
B) Kyphosis: Kyphosis is characterized by an exaggerated outward curvature of the thoracic spine, resulting in a hunchback appearance. It is not related to the increased lumbar curvature seen during pregnancy.
C) Keratosis: Keratosis refers to a condition involving thickening or hardening of the skin, such as actinic keratosis. It is unrelated to spinal curvature or changes associated with pregnancy.
D) Scoliosis: Scoliosis is a condition marked by an abnormal lateral curvature of the spine. It does not specifically relate to the increased lumbar curvature that occurs during pregnancy due to the enlarging uterus.
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