A patient receiving menotropins [Repronex] for infertility comes to the clinic for evaluation on the ninth day of treatment. Her serum estrogen level is 200 pg/mL per maturing follicle. An ul-trasound reveals that follicles have enlarged to 22 mm
The patient complains of left lower ab-dominal pain. What will the nurse do? a. Administer human chorionic gonadotro-pin, because the ovary has ripened.
b. Assess for abdominal fullness and disten-sion and auscultate lung sounds.
c. Inform the patient that the pain is asso-ciated with ovulation.
d. Recommend ibuprofen for pain and admi-nister the next dose of menotropins.
B
Menotropins can cause ovarian hyperstimulation syndrome, which can cause sudden enlargement of the ovaries. When it occurs rapidly and is accompanied by ascites, pleural effusion, and pain, the patient should be hospitalized and the menotropins should be withdrawn. Although the follicular size and estrogen level indicate a ripened ovary, the first priority is to assess for ovarian hyperstimulation syndrome, because this patient reports pain. Ovulation will not occur until hCG is given, so this pain is not associated with ovulation. Until ovarian hyperstimulation syndrome has been ruled out, it is not appropriate to administer the next dose of menotropins.
You might also like to view...
A nursing student studying the neurologic system learns which information? (Select all that apply.)
a. An aneurysm is a ballooning in a weakened part of an arterial wall. b. An arteriovenous malformation is the usual cause of strokes. c. Intracerebral hemorrhage is bleeding directly into the brain. d. Reduced perfusion from vasospasm often makes stroke worse. e. Subarachnoid hemorrhage is caused by high blood pressure.
A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?
A) Lack of interest in normal activities B) Delusional thinking C) Auditory hallucinations D) Visual hallucinations
A nursing assistant (NA) reports to the nurse that a postsurgical patient is complaining of pain that she rates as an eight on a ten-point scale
The NA tells the nurse that he thinks the patient is exaggerating and does not need pain medication. What is the nurse's best response? A) "Pain often comes and goes with postsurgical patients. Please ask her about pain again in about 30 minutes." B) "We need to provide pain medications because it is the law, and we must always follow the law." C) "Professionally, I believe 'pain is whatever the patient says it is.'" D) "Patients often misreport pain 'to get our attention when we are busy.'"
Which of the following measures is merely a simple difference score?
a. Standard deviation = 2.41 b. Difference scores = –2, –2, –1, +2, and +3 c. Range = 8 d. Variance = 5.80