A woman presents to the emergency department complaining of bleeding and cramping. Initial nursing history is significant for a last menstrual period 6 weeks ago
On sterile spe-culum examination, the primary care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spon-taneous abortion? 1. Incomplete
2. Inevitable
3. Threatened
4. Septic
3
1. Incorrect. A woman with an incomplete abortion would present with heavy bleeding, mild to severe cramping, and cervical dilation.
2. Incorrect. An inevitable abortion presents with the same symptoms as an incomplete abortion: heavy bleeding, mild to severe cramping, and cervical dilation.
3. Correct. A woman with a threatened abortion presents with spotting, mild cramps, and no cervical dilation.
4. Incorrect. A woman with a septic abortion presents with malodorous bleeding and typi-cally a dilated cervix.
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A nurse assesses a client's recent memory. Which client statement confirms that the client's remote memory is intact?
a. "A young girl wrapped in a shroud fell asleep on a bed of clouds." b. "I was born on April 3, 1967, in Johnstown Community Hospital." c. "Apple, chair, and pencil are the words you just stated." d. "I ate oatmeal with wheat toast and orange juice for breakfast."
Over time, the nurse at a women's health clinic has provided care for numerous patients who have experienced pelvic organ prolapse
The nurse should recognize a higher-than-average risk of pelvic organ prolapse among which of the following individuals? A) A woman who is a long distance runner. B) A woman who has a history of constipation. C) A woman who has had recurrent urinary tract infections (UTIs). D) A woman who has had four vaginal births.
Which of the following nursing interventions should be planned to minimize the stress and anxiety of hospitalization?
1. Explain all procedures in detail before performing them. 2. Let the client make the majority of decisions about the plan of care. 3. Control the environment of healing. 4. Demonstrate staff competence by using multiple nurses for care.
A client is on the phone when the nurse brings a preoperative antibiotic before scheduled surgery. The circulating nurse has requested the antibiotic be started. The client wants the nurse to wait before starting it
What response by the nurse is most appropriate? a. Explain the rationale for giving the medicine now. b. Leave the room and come back in 15 minutes. c. Provide holistic client care and come back later. d. Tell the client you must start the medication now.