Your patient is 6 weeks pregnant and complains of abdominal pain. Her pelvic examination reveals a right adnexal mass with increased tenderness upon cervical motion. She may be experiencing
a. abruptio placenta.
b. ectopic pregnancy.
c. infection of the ovary.
d. pain related to pregnancy-induced hypertension.
B
Painful adnexal masses are abnormal. In early pregnancy, these can indicate an ectopic pregnancy (pregnancy other than intrauterine, such as in the abdomen or fallopian tube), infection, or cancerous growth. Pain associated with an adnexal mass can be elicited via cervical motion during bimanual assessment. Abruptio placenta and pregnancy-induced hypertension (PIH) cause persistent abdominal pain or tenderness. Abruptio pain is from retroplacental bleeding of the placental separation. PIH pain is secondary to the hepatic involvement.
You might also like to view...
A nurse making rounds hears sounds coming from an adolescent's room. When checking on the client, the nurse hears noises coming from the bathroom, and suspects that the client is masturbating
Which are the most appropriate actions in this situation? Standard Text: Select all that apply. 1. Wait until the client comes out of the bathroom. 2. Pretend she did not hear anything. 3. Discuss the inappropriate behavior. 4. Examine his/her personal feelings about what might be happening. 5. Knock on the door before entering the bathroom.
The nurse has completed teaching a group of nursing assistants about oral hygiene approaches for the older client. Which statement best indicates that the teaching was understood?
1. "Clients should brush their teeth every morning." 2. "A plain toothbrush is the best tool for oral care." 3. "Keeping the mouth moist throughout the day is important." 4. "Tooth brushing should be done for 3 to 4 minutes."
The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include:
1. Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing program and in their APRN program. 2. Nurses care for the patient from a holistic approach and include the patient in decision making regarding their care. 3. APRNs are less likely to prescribe narcotics and other controlled substances. 4. APRNs are able to prescribe independently in all states, whereas a physician's assistant needs to have a physician supervising their practice.
The nurse is planning care for a client and reviewing appropriate educational materials to use for discharge instructions. Which domains of nursing is this nurse implementing? (Select all that apply.)
1. Nursing process 2. Clinical practice 3. Education 4. Literature 5. Administration 6. Research