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 B

Explanation

The correct answer is B. Anticonvulsants. Anticonvulsants can interfere with the effectiveness of a combined oral contraceptive (COC)10111213. These medications can increase the metabolism of COCs, thereby reducing their effectiveness and potentially leading to contraceptive failure.

A. Instruct the client to avoid alcohol for 72 hr after treatment. B. Administer metronidazole 2 g PO x 1 dose. C. Perform an oatmeal sitz bath. D. Have the client douche every morning and night. E. Recommend the client’s partner receive treatment.

Correct Answer is B

Explanation

Choice A rationale

Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of vaginal itching and discharge.

Choice B rationale

The client’s symptoms are indicative of Bacterial Vaginosis (BV), a common vaginal infection in women of reproductive age. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.

Choice C rationale

An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.

Choice D rationale

Douching is generally not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to further complications.

Choice E rationale

Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.

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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

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client.Which of the following statements by the newly licensed nurse requires intervention by the nurse?

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A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.Which of the following should be included in the teaching?

A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving.Which of the following statements should the nurse make?

A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy.Which statement should the nurse include in the teaching?

A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives.The client states that she is nervous because she has never had a pelvic examination.Which response should the nurse make?

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?