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. While the presence of peripheral pulses and full range of motion is important, it is typically included in the physical assessment findings and is less immediately relevant to postoperative status compared to other options.

B. The history of vomiting at home is part of the client’s medical history but is not immediately relevant to the postoperative status.

C. Information about the abdomen (soft, absent bowel sounds, no bleeding on dressing) is critical as it pertains directly to the surgical site and postoperative recovery.

D. Declining ice chips despite reporting a dry mouth is noteworthy but less critical than assessing the surgical site and abdominal status.

A. Decreased ammonia. B. Lowered total protein and albumin. C. Prolonged prothrombin time (PT). D. Elevated direct bilirubin.

Correct Answer is C

Explanation

A. Decreased ammonia is a positive sign, indicating effective treatment for hepatic encephalopathy.

B. Lowered total protein and albumin are common in advanced cirrhosis but do not typically require immediate intervention compared to other findings.

C. Prolonged PT is critical because it indicates a high risk of bleeding due to impaired liver function, necessitating immediate attention.

D. Elevated direct bilirubin is indicative of liver dysfunction but is less immediately critical compared to bleeding risks.

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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

Correct Answer is C

Explanation

A client with advanced cirrhosis is being treated for hepatic encephalopathy. In reviewing the client's serum laboratory results, which finding requires the most immediate intervention by the nurse?

Correct Answer is C

Explanation

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