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.
None
None
The Correct Answer is D
A. Severe pain is important to document and manage, but the cause (possible ectopic pregnancy) takes priority.
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 of 7 weeks in a young adult female with acute lower abdominal pain is concerning for possible pregnancy complications, including ectopic pregnancy, which is a medical emergency. Prompt reporting allows the healthcare provider to initiate appropriate diagnostic testing and treatment to prevent serious complications, such as rupture and hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While explaining medications for anxiety is helpful, understanding the client's specific fears is crucial for addressing their concerns effectively.
B. Reviewing the home health care plan is important but should follow addressing the client's immediate concerns and fears about going home.
C. Asking the client about their fears helps to address specific concerns and provides an opportunity to offer targeted support and reassurance.
D. While privacy is important, it is not as critical as understanding and addressing the client's fears directly.
Correct Answer is C
Explanation
A. While playing with syringes or hospital masks may familiarize the child with some medical equipment, it may not significantly reduce anxiety about surgery.
B. Play therapy with children who have undergone similar surgeries can be beneficial but might not be practical or feasible before surgery.
C. Providing a family tour of the preoperative unit allows the child and family to become familiar with the environment, reducing anxiety by demystifying the process and setting.
D. Providing dolls and equipment can help in expressing feelings, but it may not directly address anxiety about the surgical procedure itself.
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