You are working as the triage nurse in the emergency department at a busy tertiary care center. a woman
comes in complaining of very heavy vaginal bleeding and extreme pain. S.K.
is single, is 47 years of age,
and has been bleeding for 24 hours, soaking a pad an hour. She works in a law firm as a paralegal and was
embarrassed yesterday when she leaked around her pad and stained a chair in the conference room. She
has two sexual partners currently and has been relying on condoms for birth control. She thinks her last
menstrual period was 2 months ago, but they have been irregular and she is not sure. She has had some
occasional spotting during the past 6 months. She states she is afraid of the amount of bleeding in the
past 24 hours.
Identify three conditions that would require emergency care and could prove
life-threatening.
• Uncontrolled hemorrhage because of early pregnancy loss, excess endometrial tissue, exposed
fibroid tissue, or low hormone levels
• Ectopic pregnancy with a ruptured fallopian tube
• Miscarriage
• Pelvic inflammatory disease
• Cancerous lesion in the uterus
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The nurse is assessing a female client's risk of developing breast cancer. Which family history finding would the nurse interpret as most significant?
1. The client's maternal grandmother developed breast cancer at age 80. 2. Breast cancer has not been diagnosed in the family in two generations. 3. The client's brother was diagnosed with breast cancer at age 35. 4. The client had a hysterectomy due to uterine fibroids.
You are doing a presentation to a woman's group on breast cancer. They want to know more about metastatic breast cancer. Discuss metastatic breast cancer
a. What are the primary sites to which breast cancer metastasizes? b. What is the treatment available? c. What is the prognosis?
Which action represents the key management function of strategic planning?
a. Determining that all nurses on the unit understand the current organizational philosophy b. Evaluating the communication process between the pharmacy and the nursing departments c. Monitoring data from the quality management initiative related to the last three orientation programs d. Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units
The client recovered to a greater level that what was previously expected. The staff nurse responsible for the client's care is following which of the ANA standards of practice?
1. Diagnosis 2. Planning 3. Implementation 4. Evaluation