You are the nurse in a walk-in clinic. a.P. is being seen this morning for a 2-day history of diffuse, severe
abdominal pain. She has complaints of nausea without vomiting.
She denies vaginal bleeding or dis-
charge. a.P. reports having unprotected sex with several partners recently, two of whom had penile dis-
charge. Her last menstrual period ended 3 days ago. She has no known drug allergies and denies previous
medical or psychiatric problems. Vital signs are 108/60, 110, 20, 100.6 ° F (38.1 ° C). Physical examination
reveals that her abdomen is very tender. The slightest touch of her abdomen causes her to wince with
pain. Bowel sounds are normal. Pelvic examination reveals purulent material pooled in the vaginal vault,
which appears to be coming from the cervix. a sample of the vaginal drainage is obtained and sent for
culture. The result of a pregnancy test is negative; a rapid diagnostic test for chlamydial infection has a
positive result.
Which of these assessment findings are significant and why?
Elevated temperature and heart rate, pelvic pain, and purulent vaginal discharge are all associated
with chlamydial infection.
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At some hospitals in the United States, new mothers are given formula gift packs at dis-charge. Having been given the gift pack by hospital staff leads parents to believe that formula will be necessary even for breast-feeding mothers
Indicate whether the statement is true or false
After completing a medication history the nurse is concerned that an older patient is at risk for drug toxicity. What did the nurse most likely assess in this patient? (Select all that apply.)
A) Takes medication for glaucoma B) Experiences transient dizziness after taking anticonvulsant medication C) Has blood work done every 3 months to check anticonvulsant drug levels D) Takes digoxin for a cardiac dysrhythmia and carbamazepine for seizures once a day E) Takes prescribed gabapentin for peripheral neuropathy with grapefruit juice every day
A patient is being treated for obstructive uropathy due to benign prostatic hypertrophy. Which of the following drugs should appear on the patient's medical record?
a. Terazosin (Hytrin) b. Ergotamine (Ergomar) c. Dihydroergotamine (DHE 45) d. Methysergide (Sansert)
Which of the following issues should be addressed with patients who have been unconscious?
a. Sensations b. Pathophysiology c. Rehabilitation d. Attitudes