A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant. She is taking oral contraceptives and has taken them exactly as prescribed. What is the best response by the nurse?
1. Tell the client to purchase an at-home pregnancy test to determine pregnancy.
2. Tell the client to come in for an evaluation and to discuss birth control.
3. Tell the client that these symptoms can be side effects of oral contraceptives.
4. Verify with the client that she has taken all her pills just as prescribed.
3
Rationale 1: Telling the client to purchase an at-home pregnancy test will only increase her anxiety.
Rationale 2: There is no reason for the client to come in for an evaluation at this time.
Rationale 3: It is important for the nurse to educate the client about the side effects of oral contraceptives.
Rationale 4: Verifying how the pills were taken is unnecessary; the client said she took them as prescribed.
Global Rationale: It is important for the nurse to educate the client about the side effects of oral contraceptives. Telling the client to purchase an at-home pregnancy test will only increase her anxiety. There is no reason for the client to come in for an evaluation at this time. Verifying how the pills were taken is unnecessary; the client said she took them as prescribed.
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A. "Many people experiencing chronic pain become depressed." B. "The antidepressants may counteract the chemicals causing your pain." C. "You are less likely to become addicted from using antidepressants than you are from using other types of pain killers." D. "The antidepressants also have strong anti-inflammatory properties and can re-duce the pain you have from inflammation."
The nurse caring for a patient recently diagnosed with an anxiety disorder knows that which physiological disturbance is thought to result in pathologic anxiety?
1. Increased pituitary response 2. Increased cortisol production 3. Decreased epinephrine response 4. Increased limbic system response
Pain associated with a dissecting thoracic aortic aneurysm is commonly described as:
A. Retrosternal crushing and squeezing B. Chest stabbing and sharp C. Ripping and tearing in the chest or thoracic back D. Worse with inspiration
Why must a nurse who is using population management be able to work with integrated care delivery systems?
a. Management has shifted from inpatient care to primary care providers as points of entry. b. Emphasis is on episodic illness care for individuals rather than on population management. c. Care management services and programs do not provide access and accountabili-ty, as provided by case management services. d. Assessment of the needs of the population is no longer necessary.