A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.
The preliminary diagnosis is an inevitable abortion.
Which nursing interventions should be included in the care plan?

Maintain the patient on bed rest.

Offer the option to view products of conception.

Administer oxygen via a nasal cannula.

Instruct the patient to increase potassium-rich foods in the diet.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Maintain the patient on bed rest. This is a common nursing intervention for a patient who is experiencing an inevitable abortion. Bed rest can help reduce the risk of further complications, such as heavy bleeding. It can also provide the patient with a chance to rest and recover physically and emotionally.

Choice B rationale

Offer the option to view products of conception. This intervention may not be appropriate for all patients. While some patients may find it helpful to view the products of conception, others may find it distressing. It’s important to discuss this option with the patient and respect her wishes.

Choice C rationale

Administer oxygen via a nasal cannula. This intervention may not be necessary for all patients experiencing an inevitable abortion. While oxygen therapy can be used to treat hypoxia in patients with heavy bleeding, it’s not typically required unless the patient shows signs of hypoxia.

Choice D rationale

Instruct the patient to increase potassium-rich foods in the diet. This intervention is not typically part of the care plan for a patient experiencing an inevitable abortion. While a balanced diet is important for overall health, there’s no specific need to increase potassium-rich foods in the diet in this situation.

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Correct Answer is D

Explanation

Choice A rationale

While seeing a counselor could be beneficial for some women experiencing doubts and second thoughts about their pregnancy, it is not necessarily the first or only option. Many women experience a range of emotions during pregnancy, and these feelings are often temporary.

Choice B rationale

Telling a woman not to worry and that she will be fine once the baby is born may minimize her feelings and concerns. It’s important to validate her feelings and provide support.

Choice C rationale

While talking to a trusted family member or friend can be helpful, it’s not the only option. Some women may not feel comfortable discussing their feelings with family members.

Choice D rationale

Ambivalent feelings are quite common for women early in pregnancy. It’s a time of significant change, and it’s normal to have mixed feelings about it. It can be helpful to discuss these feelings with a healthcare provider, who can provide reassurance and resources.

A. You need to return in 6 months for retesting. B. This infection is treated with a single dose of azithromycin. C. If your sexual partner has no symptoms, no medication is needed. D. You must abstain from sexual relations for several days.

Correct Answer is B

Explanation

Choice A rationale

While follow-up testing is important for individuals diagnosed with chlamydia, retesting is typically recommended 3 months after treatment, not 6 months.

Choice B rationale

This is the correct statement. Chlamydia is treated with antibiotics, and a single dose of azithromycin is one of the recommended treatments.

Choice C rationale

This statement is incorrect. Even if a sexual partner of a person diagnosed with chlamydia has no symptoms, they still need to be tested and treated if necessary. Chlamydia can be asymptomatic, and untreated chlamydia can lead to serious health problems.

Choice D rationale

While abstaining from sexual relations until treatment is complete is recommended, it is not the only necessary step. The client’s sexual partners also need to be informed, tested, and treated if necessary.

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A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.The preliminary diagnosis is an inevitable abortion.Which nursing interventions should be included in the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.Which statement should the nurse make?

Correct Answer is B

Explanation

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A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.The preliminary diagnosis is an inevitable abortion.Which nursing interventions should be included in the care plan?

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A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.
The preliminary diagnosis is an inevitable abortion.
Which nursing interventions should be included in the care plan?