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 A

Explanation

A. Kussmaul respirations are deep, labored breathing patterns that help blow off excess carbon dioxide to compensate for metabolic acidosis, which is common in DKA.

B. Diaphoresis is not directly related to the respiratory pattern seen in DKA.

C. Hyperosmolar diuresis explains dehydration but not the respiratory compensation.

D. Erratic electrical impulses are not related to the respiratory pattern of Kussmaul respirations.

A. Report the complaint of eye pain to the surgeon. B. Administer an antiemetic to prevent vomiting. C. Apply bilateral eye shields to reduce photosensitivity. D. Begin postoperative prophylactic antibiotics.

Correct Answer is A

Explanation

A. Acute pain deep within the eye following laser trabeculoplasty surgery may indicate a serious complication such as increased intraocular pressure or infection. It is crucial to report this symptom to the surgeon immediately for further evaluation and management.

B. Administering an antiemetic is not directly related to addressing the acute eye pain.

C. Applying bilateral eye shields can help with photosensitivity but does not address the underlying cause of the acute pain.

D. Beginning postoperative prophylactic antibiotics may be necessary but does not address the immediate concern of the acute pain reported by the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Correct Answer is A

Explanation

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