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 {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Bladder retention: The client reports increased urinary urgency and frequency, waking at night to void, and instances of incontinence. These symptoms are consistent with bladder retention, where the bladder does not empty completely, often seen in benign prostatic hyperplasia (BPH).
Overflow incontinence: This type of incontinence occurs when the bladder is full, and small amounts of urine leak out due to an inability to empty the bladder properly, commonly associated with BPH.
Correct Answer is B
Explanation
A. Identifying information as a late entry is not appropriate until the system issue is resolved.
B. Notifying the information services department is essential to address the system failure and seek assistance in resolving the issue.
C. Waiting for notification may delay addressing the problem and does not help in the immediate resolution.
D. Printing the EMR from the backup server might be necessary later but does not address the immediate need to fix the system issue.
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