The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?
A 19-yr-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness.
A 35-yr-old client with heavy spotting after having a progestin- containing IUD (Mirena) inserted a month ago.
A 39-yr-old client who is complaining of 4/10 pain after an abdominal hysterectomy.
A 42-yr-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago.
The Correct Answer is A
A. A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness: This is the correct choice. Fever and weakness in the context of menorrhagia suggest a possible infection (e.g., toxic shock syndrome) or severe blood loss, which requires immediate evaluation and intervention.
B. A 35-year-old client with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago: Spotting after IUD insertion is common and does not suggest an immediate threat to the client’s health.
C. A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy: Mild pain after a hysterectomy is expected and not an emergency.
D. A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago: While secondary amenorrhea requires evaluation, it is not as urgent as a client with signs of possible infection or blood loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Testicular self-exam remains important for the remaining testis.
B. Sperm banking is a reasonable consideration.
C. Sexual function is usually maintained with one testis.
D. This statement is incorrect; fertility may be affected, hence sperm banking consideration.
Correct Answer is C
Explanation
A. Serum insulin levels reflects short-term insulin secretion but does not indicate long-term glucose control.
B. Hemoglobin levels relate to anemia, not glucose control.
C. Hemoglobin A1C level reflects the average blood glucose over the past 2-3 months, providing an excellent measure of long-term control.
D. Fingerstick fasting blood glucose level reflects glucose levels at the moment of testing, not long-term control.
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