A woman comes into the prenatal clinic accompanied by her boyfriend. When asked by the nurse why she is there, the patient looks down, and the boyfriend states, "She says she is pregnant
She constantly complains of feeling tired, and her vomiting is disgusting.". What is a priority for the nurse to do at this point? 1. Ask the woman what time of the day her fatigue is more common.
2. Recommend that the woman have a pregnancy test done as soon as possible.
3. Continue the interview of the woman in private.
4. Give the woman suggestions on ways to decrease the vomiting.
3
Rationale 1: Asking the woman when her fatigue occurs is not the priority.
Rationale 2: Recommending that the woman have a pregnancy test is not the priority.
Rationale 3: The nurse should suspect that the woman is in an abusive relationship. The priority is for the nurse to get the patient away from the boyfriend and continue the interview.
Rationale 4: Offering suggestions for ways to stop the nausea and vomiting is not the priority.
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