Which .client in the gynecology clinic should the nurse assess first?
1. 31-year-old, reports increasing dyspareunia
2. 15-year-old, no menses for past 4 months
3. 22-year-old, using tampons, T = 102°F, P = 122, BP = 70/55
4. 18-year-old seeking information on contraception methods
3
Explanation:
1. Although this client might have endometriosis, dyspareunia is not a life-threatening condition.
2. Secondary amenorrhea can be caused by pregnancy. Teen pregnancy is a high risk, but no indication is given that the client is exhibiting a life-threatening condition.
3. A client using tampons who is febrile, tachycardic, and hypotensive might have toxic shock syndrome. Hypotension is life threatening; this client should be seen immediately.
4. Unplanned pregnancy and sexually transmitted infections can be problematic in the future, but this client exhibits no signs or symptoms of a life-threatening condition at this time.
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