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 C

Explanation

A. Obtaining serum creatinine levels is important but not an immediate intervention.

B. Monitoring sodium intake is essential but not the first step in acute management.

C. Administering a diuretic can help manage the fluid retention and reduce blood pressure, addressing the immediate concern of fluid overload.

D. Measuring ankle circumference is part of monitoring fluid status but does not address the immediate need to reduce fluid overload.

A. Ensure that prescribed medications are kept in a safe place in the room. B. Replace paper trash bags with plastic biohazard bags. C. Remove soft drink cans from the nurse's desk and patient lounge. D. Take the client's cellular telephone and provide a telephone in the room.

Correct Answer is C

Explanation

A. Ensuring medications are kept in a safe place is important but may not directly impact safety in the milieu.

B. Replacing paper trash bags with biohazard bags is unnecessary unless there is a specific reason related to infection control.

C. Removing soft drink cans can prevent them from being used inappropriately (e.g., for self-harm or as weapons), contributing to a safer environment.

D. Taking the client's cellular telephone and providing a room telephone may be necessary for some clients but is not a universal safety measure.

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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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