Final answer:
The nurse should first ask about the medications the patient is currently taking, as this information is critical in understanding how her symptoms may be influenced by her treatment regimen and the potential link to her broken arm.
Step-by-step explanation:
The question asked by the 51-year-old female who is perimenopausal, has broken her arm, and is experiencing progressive fatigue, insomnia, and hot flashes is, “What question should the nurse ask first to collect more data surrounding the client's health history?” Considering the symptoms and circumstances, the most appropriate first question for the nurse to ask is: c. What medications are you currently taking? This is because medications may have significant impacts on a patient's symptoms and may also be related to bone density issues such as osteoporosis, which could explain the broken arm after a minor fall.
The side effects of menopause, which often include symptoms like hot flashes, insomnia, and mood swings, can significantly impact a person's health and daily activities. Reduction in estrogen levels during menopause can lead to lower bone density and an increased risk of fractures. Hormone replacement therapy (HRT) is an option to mitigate these effects, but it comes with potential risks such as increased risk of certain cancers and cardiovascular issues. The nurse's initial query about medications will provide important context for evaluating the suitability of HRT for this patient and for understanding all the factors that might be contributing to her current health concerns.