A woman presents to the perinatal clinic with abdominal pain. She has missed one period and, following a transvaginal ultrasound, pregnancy is confirmed
However, implantation has occurred in the right fallopian tube. The ectopic mass is 3 cm and has not ruptured. The nurse prepares the patient for which therapy?
A.
Laparoscopic salpingostomy
B.
Methotrexate
C.
Partial salpingectomy
D.
Salpingectomy by laparotomy
ANS: B
Methotrexate, a chemotherapeutic drug and folic acid inhibitor that stops cell production and destroys remaining trophoblastic tissue, is used in the management of uncomplicated, non-life-threatening ectopic pregnancies. Patients are considered to be eligible for methotrexate therapy if the ectopic mass is unruptured and measures 4 cm or less on ultrasound examination. The other options would not be needed.
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A child brings unlabeled medications in a plastic bag to the school nurse. What should the nurse do?
a. Call the parent or guardian for the labeled pharmacy bottle. b. Administer the medication that day and send a note home. c. Administer the medication if the child can identify the medication d. Allow the student to take his or her own medication.
An older patient taking lithium carbonate (Eskalith) for 2 months has all of the following conditions. Which symptom does the nurse report to the prescriber as a possible side effect that may require a change of drug or drug dosage?
a. Dry mouth b. Increased belching after meals c. Weight loss of 6 lb in 1 week d. International normalized ratio (INR) of 1.1
An appropriate intervention to encourage food and fluid intake in a hospitalized child is to:
a. force child to eat and drink to combat caloric losses. b. discourage participation in noneating activities until caloric intake is sufficient. c. administer large quantities of flavored fluids at frequent intervals and during meals. d. give high-quality foods and snacks whenever child expresses hunger.
_________ is an effective antipsychotic drug with the unfortunate side effect of inhibiting white blood cell production.
Fill in the blank(s) with the appropriate word(s).