Which client in the gynecology clinic should the nurse see first?
1. 22-year-old, using tampons, T=102°F, P=122, BP=70/55
2. 15-year-old, no menses for past four months
3. 18-year-old seeking information on contraception methods
4. 31-year-old, reports increasing dyspareunia
1
Rationale:
1. A patient using tampons who is febrile, tachycardic and hypotensive might have toxic shock syndrome. Hypotension is life-threatening; this client should be seen immediately.
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. 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.
4. Although this client might have endometriosis, dyspareunia is not a life-threatening condition.
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