With treatment, S.K. stabilizes within an hour. you administer a nonopioid analgesic the physician orders
for pain and continue to monitor her status. The US results arrive and show she does not have an ectopic
or intrauterine pregnancy.
The US shows a very thick endometrial lining, even after 24 hours of bleeding.
S.K. is obviously relieved about not being pregnant, but she expresses fear that this could be
cancer. What should you tell her to reassure her?
Endometrial cancer is the least likely cause of her bleeding. Her OB/GYN can perform a simple test
called an endometrial biopsy. This test is done by suctioning out a small sample of the endometrium
with a thin pipette (straw). The cells are sent to a pathologist to see whether they are normal,
whether they are changing in ways that could become cancer at some point, or whether actual
cancer cells are present. Suggest she have this test done soon for her peace of mind.
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A pregnant client is complaining of "morning sickness." The nurse advises her to
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