A female client presents to the emergency room complaining of lower abdominal cramping with scant bleeding of approximately 2 days' duration. This morning, the quality and location of the pain changed and she is now experiencing pain in her shoulder
The client's last menstrual period was 28 days ago, but she reports that her cycle is variable, ranging from 21 to 45 days. Which clinical diagnosis does the nurse suspect?
a. Ectopic pregnancy
b. Appendicitis
c. Food poisoning
d. Gastroenteritis
ANS: A
Even though the client's menstrual cycle has variability, all women are considered to be pregnant until proven otherwise. The client's presenting symptoms are typical for ectopic pregnancy, so the client should be monitored for the possible complication of rupture and shock.
You might also like to view...
When the preschooler who is hospitalized for surgery to correct a poorly healed fracture says, "My doctor is going to unscrew my bent arm and screw on a new one," the nurse should ________________ this misconception
ANS:
Which of the following foods would a nurse recommend as the best sources of vitamin K?
1. Spinach, broccoli, and Brussels sprouts 2. Grapefruit, oranges, and tomatoes 3. Black beans, salmon, and beef liver 4. Sweet potatoes, cantaloupe, and apricots
When teaching a client about the risk factors for hypertension, the nurse realizes further instruction is needed when the client identifies which as a risk factor?
a. smoking. c. low serum cholesterol. b. age over 60. d. family history of heart disease.
All patients with hypertension or diabetes should have yearly screenings for which factor?
a. Creatinine b. BUN c. Glycosuria d. Microalbuminuria