Which of these interventions should the nurse recognize as the priority for the client diagnosed with an intact tubal pregnancy?

a. Assessment of pain level
b. Administration of methotrexate
c. Administration of Rh immune globulin
d. Explanation of the common side effects of the treatment plan


ANS: B
The goal of medical management of an intact tube is to preserve the tube and improve the chance of future fertility. Methotrexate (a folic acid antagonist) is used to inhibit cell division and stop growth of the embryo. Assessment of pain level, administration of Rh immune globulin, and explaining common side effects of the treatment plan should be implemented in conjunction with or soon after treatment with methotrexate has begun.

Nursing

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