A client who is 11 weeks pregnant presents to the emergency department with complaints of dizziness, lower abdominal pain, and right shoulder pain. Laboratory tests reveal a beta-hCG at a lower-than-expected level for this gestational age
An adnexal mass is palpable. Ultrasound confirms no intrauterine gestation. The client is crying and asks what is happening. The nurse knows that the most likely diagnosis is an ectopic pregnancy. Which statement should the nurse include? 1. "You're feeling dizzy because the pregnancy is compressing your vena cava."
2. "The pain is due to the baby putting pressure on nerves internally."
3. "The baby is in the fallopian tube; the tube has ruptured and is causing bleeding."
4. "This is a minor problem. The doctor will be right back to explain it to you."
3
Explanation: 3. The woman who experiences one-sided lower abdominal pain or diffused lower abdominal pain, vasomotor disturbances such as fainting or dizziness, and referred right shoulder pain from blood irritating the subdiaphragmatic phrenic nerve is experiencing an ectopic pregnancy.
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The nurse is examining a 2-year-old child and asks, "May I listen to your heart now?" Which critique of the nurse's technique is most accurate?
a. Asking questions enhances the child's autonomy b. Asking the child for permission helps develop a sense of trust c. This question is an appropriate statement because children at this age like to have choices d. Children at this age like to say, "No." The examiner should not offer a choice when no choice is available
Which of the following actions can the nurse take to communicate with the supervisor? (Select all that apply.)
a. Keep the supervisor informed. b. Focus on problem solving. c. Use "you" statements. d. Calm down before speaking. e. Choose words wisely.
The nurse is glad to see that the 3-month-old is going to be casted with a synthetic cast because synthetic casts: (Select all that apply.)
a. Dry quicker b. Do not cause circulatory problems c. Are lighter d. Allow for greater mobility e. Can be modified and reused
It is hoped that with early identification of individuals at risk coupled with crisis intervention and ongoing treatment, the incidence of suicide in the United States can be lowered. Ideally, to meet this goal, all
at-risk clients in community settings should be routinely screened by community health nurses for suicide. Using your knowledge of suicide risk factors what method had the highest incidence of deaths? A) Medications B) Drowning C) Firearms D) Hangings