An older patient who is postmenopausal is experiencing uterine bleeding. Which action would be appropriate for the nurse to take at this time?
1. Provide hygienic care.
2. Collect a urine specimen.
3. Direct the patient for evaluation for endometrial cancer.
4. Instruct the patient on normal changes of the reproductive system in the elderly.
3. Direct the patient for evaluation for endometrial cancer.
Explanation: 1. Hygienic care is important but it is not a priority at this time.
2. Collecting a urine specimen may be part of the further assessment but is not a priority.
3. Any older woman who reports postmenopausal uterine bleeding should be assumed to have endometrial cancer until proved otherwise. The patient should be directed to seek healthcare to evaluate for the presence of endometrial cancer.
4. Uterine bleeding is not a normal change in the older female patient.
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