Throughout the world the rate of ectopic pregnancy has increased dramatically over the past 20 years. This is believed to be due primarily to scarring of the fallopian tubes as a result of pelvic infection, inflammation, or surgery

The nurse who suspects that a client has early signs of ectopic pregnancy should be observing her for symptoms including which of the following? Select all that apply. a. Pelvic pain
b. Abdominal pain
c. Unanticipated heavy bleeding
d. Vaginal spotting or light bleeding
e. Missed period


A, B, D, E
Correct: A, B, D, E. A missed period or spotting can easily be mistaken by the client as early signs of pregnancy. More subtle signs depend on exactly where the implantation occurs. The nurse must be thorough in her assessment because pain is not a normal symptom of early pregnancy.
Incorrect: C. As the fallopian tube tears open and the embryo is expelled, the client often exhibits severe pain accompanied by intraabdominal hemorrhage. This may progress to hy-povolemic shock with minimal or even no external bleeding. In about half of women, shoul-der and neck pain occurs due to irritation of the diaphragm from the hemorrhage.

Nursing

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The nurse is reinforcing teaching for a patient who has osteoporosis and is being taught complications that can occur from osteoporosis

Which of these, if stated by the patient, indicates to the nurse correct understanding of a complication of osteoporosis? a. "Hip fracture." b. "Increased bone density." c. "Overgrowth of bone." d. "Bone spur formation."

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The nurse is assessing a male patient diagnosed with chronic heart failure 10 years ago. Which finding would indicate poor perfusion to the tissues?

a. Blood pressure reading of 102/64 b. Absence of hair on the lower legs and feet c. Pulse rate of 104 beats/min d. Shortness of breath when supine

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__________ is the process that includes emotional, physical, spiritual, social, and intellectual responses and behaviors by which individuals incorporate an actual, anticipated or perceived loss

Fill in the blank(s) with correct word

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A nurse has completed an educational session about touch therapy with a group of adults. Which of the following statements made by an individual would demonstrate understanding of this topic?

a. Research has shown that touch therapy is effective because it relieves stress and tension. b. Touch therapy is effective because deep massage relaxes muscles. c. During touch therapy the therapists hands may not actually touch me. d. It is the massage skill of the therapist that produces the positive benefits of touch therapy.

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