A 36 year old patient is diagnosed with dysfunctional uterine bleeding. During the pelvic exam, the health care provider determines that the bleeding is acute and heavy. What is the nurses priority action?
a. Prepare the patient for immediate transport to the operating room
b. Prepare to administer combination hormonal therapy
c. Anticipate an order for a hormonal contraceptive patch
d. Prepare to administer injectable medroxy-progesterone acetate (Depo-Provera)
Answer: b. Prepare to administer combination hormonal therapy
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The day following surgery, the nurse notes bloody drainage on the dressing. The nurse will record this drainage as:
a. serosanguineous. b. sanguineous. c. serous. d. purulent.
The home health nurse explains that due to the patient's implantation of a pacemaker, he is not a candidate for the use of:
a. peripheral analgesics. b. a TENS unit. c. opioid analgesics. d. adjuvant analgesics.
A client in the emergency department has died from a suspected homicide. What is the nurse's priority intervention?
a. Remove all tubes and wires in preparation for the medical examiner. b. Limit the number of visitors to minimize the family's trauma. c. Consult the bereavement committee to follow up with the grieving family. d. Communicate the client's death to the family in a simple and concrete manner.
A nurse is providing care for an 82-year-old patient who has a colostomy and was admitted 3 days ago with weakness, nausea, vomiting, and loose stools. To determine the effectiveness of care, which of the following actions should the nurse take first?
a. Check a pulse oximetry reading b. Determine the creatinine clearance c. Weigh the patient d. Measure urine specific gravity