A nurse at the family planning clinic triages several clients over the phone. Which of the following clients should the nurse instruct to come to the clinic?
A client who uses a diaphragm for contraception and has lost 30 lb in the past 6 months dieting
A client who had an intrauterine device (IUD) inserted yesterday and has cramping and bleeding
A client who has started taking oral contraceptives and is experiencing bright red vaginal breakthrough bleeding
A client who has sharp pain in her shoulder following a laparoscopic tubal ligation yesterday
The Correct Answer is D
A. Weight loss while using a diaphragm is not typically an urgent concern and may be related to dieting; the client should be advised to follow up with her primary care provider for further
evaluation.
B. Cramping and bleeding are common side effects following an IUD insertion and typically do not require immediate attention unless severe or accompanied by other concerning symptoms;
the client should be advised to monitor her symptoms and follow up if they worsen.
C. Breakthrough bleeding is a common side effect of starting oral contraceptives and may resolve on its own after a few cycles; the client should be advised to continue taking her pills as prescribed and to follow up if the bleeding persists or worsens.
D. Shoulder pain following a laparoscopic procedure may indicate a potential complication such as referred pain from gas used during the procedure or more serious issues such as internal bleeding or organ injury; the client should be instructed to come to the clinic for further
evaluation and management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- A) Hyperreflexia is a common symptom of opioid withdrawal, as the nervous system reacts to the absence of the drug. Patients may experience increased reflex actions and muscle spasms due to the sudden change in opioid levels.
- B) Meiosis, or pupil constriction, is not typically a withdrawal symptom; it is more commonly associated with opioid use. During withdrawal, pupils are likely to dilate rather than constrict.
- C) Euphoria is a feeling of intense happiness or excitement, which is often experienced after taking opioids. During withdrawal, individuals are more likely to experience dysphoria, which is a state of unease or dissatisfaction.
- D) Hypothermia is not a recognized symptom of opioid withdrawal. Instead, individuals may experience fever or chills as the body adjusts to the lack of opioids.
Correct Answer is D
Explanation
A. Chondroitin and glucosamine are not typically used to treat depression.
B. While some supplements may support immune health, chondroitin and glucosamine are primarily used to support joint health, not immune function.
C. Chondroitin and glucosamine are not indicated for the prevention or treatment of prostate enlargement.
D. Chondroitin and glucosamine are commonly used supplements for managing symptoms of osteoarthritis and improving joint health by supporting cartilage repair and reducing
inflammation.
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