A client who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled
Two weeks later, the client presents at the clinic office complaining of "crampy" abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100° F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/min (bpm), and respirations, 20 breaths/min. Based on these assessment data, what does the nurse anticipate as a clinical diagnosis?
a. Ectopic pregnancy
b. Uterine infection
c. Gestational trophoblastic disease
d. Endometriosis
ANS: B
The client is exhibiting signs of uterine infection, with elevated temperature, vaginal discharge with odor, abdominal pain, and blood pressure and pulse manifesting as shock-trended vitals. Because the pregnancy test is negative, an undiagnosed ectopic pregnancy and gestational trophoblastic disease are ruled out. There is no supportive evidence to indicate a clinical diagnosis of endometriosis at this time; however, it is more likely that this is an infectious process that must be aggressively treated.
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Which of the following are components of Freud's theory of personality (select all that apply):
A. Personality is fully developed by age 12. B. The personality is not fully developed until after adolescence. C. Developmental behaviors can happen at any age. D. Failure to progress in a particular manner will lead to dysfunction. E. Behaviors resulting from ineffective personality development are unconscious. F. Ineffective personality development was in some way related to the relationship of the child to the parent and is called psychosexual development.
What is the most appropriate nursing intervention for a patient with presbycusis?
a. Speak clearly and distinctly while facing the patient. b. Announce your presence when entering the patient's room. c. Place needed articles within easy reach. d. Orient the patient to time and place as needed.
A patient with gonorrhea is taking a protocol of tetracycline antibiotics. Which statement by the nurse is most likely to help overcome patient noncompliance?
a. "You should take all of this medicine." b. "Failing to take the entire medicine amount will make your disease resistant to it." c. "You will become sterile if you do not complete the supply of medicines." d. "The doctor wants you to take all of this medication."
At a second-trimester prenatal visit, a married couple is discussing their new roles as parents with the nurse. The father comments that he really wants to be a good father to their new baby
The nurse should explain that, in developing the fatherhood role, the most important thing is to: A. Participate actively in as many aspects of childbearing and childrearing as possible. B. Identify a father he admires and try to develop a fathering role similar to that. C. Decide with his partner on a fathering role that is mutually agreeable to both of them. D. Begin by examining the basic pattern of fathering that his father used with him.