A client tells the clinic nurse that sometimes, between menstrual periods, she experiences a sharp pain low in her abdomen on either the right or the left side
The client states that this pain is different from the menstrual cramps that she experiences, and wants to know why this is happening. What is the nurse's best response? 1. "You are experiencing ovarian cysts that are occurring each month with ovulation. Talk to your nurse practitioner about this."
2. "Your ovaries are releasing an egg at that time. Many women experience some pain in one side of the lower abdomen during ovulation."
3. "Your fallopian tubes sometimes get a spasm, similar to a muscle cramp in your leg. That's what you are feeling."
4. "The uterus moves up and down during your menstrual cycle. When it is up high during your least fertile times, you can feel that pain."
2
Rationale:
1. Ovarian cysts do not occur with each menstrual cycle in normal women. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation.
2. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation. This is a very common experience.
3. Fallopian tubes do not go into spasms. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation.
4. Although the uterus does move up and down through the menstrual cycle, at mid-cycle, the client is most fertile, and will be at the lowest position of the pelvis, to facilitate conception. The client is experiencing the mittelschmerz, or mid-cycle pain, of ovulation.
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True False
A nurse is assessing a child with increased intracranial pressure who has been exhibiting decorticate posturing. The nurse notes extension of the upper and lower extremities, with internal rotation of the upper arms and wrists and the knees and feet. The nurse determines that the child's condition:
A. Indicates improved neurological status B. Indicates decreased intracranial pressure C. Indicates deterioration in neurological function D. Is unchanged from the previous neurological assessment
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