A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?

Pain scale rating of a 9 on a 0 to 10 scale.

History of irritable bowel syndrome (IBS).

Reports white, curdy vaginal discharge.

Last menstrual period was 7 weeks ago.

Answer and Explanation

The Correct Answer is C

A. A high pain rating is concerning but does not provide specific diagnostic information.

B. A history of IBS is relevant but not as immediately critical in this acute situation.

C. White, curdy vaginal discharge may indicate a yeast infection or other serious gynecological issue, which could be important in the differential diagnosis of abdominal pain.

D. A missed menstrual period is notable but may not be as urgent in the immediate assessment compared to other symptoms.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Diazepam is a benzodiazepine that can be effective in managing symptoms of serotonin syndrome, including agitation and myoclonus. It can help reduce muscle rigidity and provide sedation.

Inducing paralysis is not appropriate in this scenario. The patient’s symptoms suggest serotonin syndrome or another type of stimulant intoxication, and paralysis could worsen the situation or mask underlying symptoms.

The patient has a high fever (102°F or 38.8°C) and significant diaphoresis. Cooling blankets can help manage hyperthermia and reduce body temperature.

The patient’s oxygen saturation is 97% on room air, indicating adequate oxygenation. There is no immediate need for supplemental oxygen at this time.

If the patient is suspected to have serotonin syndrome, which can be triggered by the use of certain antidepressants (particularly SSRIs), discontinuing the offending medication is crucial.

A. 164 mg/dL (9.1 mmol/L) B. fasting blood sugar of 168 (9.3 mmol/L) C. two-hour postprandial of 220 mg/dL (12.2 mmol/L) D. She has been receiving prenatal care since 8 weeks' gestation E. She had one spontaneous abortion at 10 weeks' gestation F. Obstetrical history reveals she has given birth three times

Correct Answer is ["A","B","C"]

Explanation

The laboratory results show a fasting 1-hour glucose screen level of 164 mg/dL and a fasting blood sugar level of 168 mg/dL from a 3-hour oral glucose tolerance test, both of which are above the normal range. Additionally, a two-hour postprandial glucose level of 220 mg/dL is also elevated. These findings suggest the possibility of gestational diabetes mellitus (GDM), a condition of glucose intolerance that arises during pregnancy.

According to the American Diabetes Association, GDM is diagnosed if two or more plasma glucose levels meet or exceed certain thresholds, which include a fasting glucose concentration of 95 mg/dL, a 1-hour glucose concentration of 180 mg/dL, and a 2-hour glucose concentration of 155 mg/dL. The patient's values surpass these thresholds, indicating that further evaluation and management for GDM may be necessary.

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A young adult female presents at the emergency center with acute lower abdominal pain. Which assessment finding is most important for the nurse to report to the healthcare provider?

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits The nurse reviews the prescriptions and assessment data. Click to indicate which interventions could help reduce symptoms if added to the plan of care. Each row must have one response option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

Correct Answer is ["A","B","C"]

Explanation

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