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The nurse has reviewed the Diagnostic Results at 10:15.

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

Exhibits

After collecting data from the client, the nurse should identify that the client is experiencing

  as evidenced by the client's

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Condition – Ectopic pregnancy; Finding – Right lower quadrant abdominal tenderness

Ectopic pregnancy – Right lower quadrant abdominal tenderness
A missed period, positive hCG, and right lower quadrant pain are classic signs of ectopic pregnancy, a life-threatening condition.

Other combinations are ruled out as follows:

  • Placenta previa – Incorrect: Usually presents in later pregnancy with painless bright red bleeding.
  • Pyelonephritis – Temperature – Incorrect: The client has normal temperature and no urinary symptoms.
  • Acute asthma attack – Hyperactive bowel sounds – Incorrect: No respiratory distress or wheezing; hyperactive bowel sounds are GI-related.
  • Abruptio placentae – Respiratory rate – Incorrect: RR is normal and this condition is also more likely in later pregnancy


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Related Questions

Correct Answer is B

Explanation

A. Document the client’s mood and affect.
Important, but not the first action.

B. Search the client’s personal belongings.
Safety comes first. The priority is removing any items that could be used for self-harm.

C. Attend an interdisciplinary team meeting.
Will occur later-client’s immediate safety takes priority.

D. Assign the client to a semi-private room.
Private rooms are preferred to allow better monitoring and safety checks.

Correct Answer is ["B","G","H"]

Explanation

A. Oxygen saturation
Oxygen saturation is within normal range at 97%; no immediate follow-up is needed.

B. Vaginal spotting
In early pregnancy, dark red spotting with pain could indicate ectopic pregnancy or threatened abortion and requires immediate evaluation.

C. Heart rate
HR of 90/min is normal and stable, not a concern at this time.

D. Bowel sounds
Hyperactive bowel sounds are nonspecific and not immediately concerning without additional GI symptoms.

E. Respiratory findings
Lung sounds are only slightly diminished, with normal RR and SpO₂, so not urgent.

F. Temperature
37.3°C is within normal limits and does not require follow-up.

G. Abdominal findings
Right lower quadrant tenderness could indicate ectopic pregnancy, appendicitis, or PID and must be evaluated promptly.

H. Menstrual period
Missed period in combination with positive hCG and abdominal pain raises concern for ectopic pregnancy.

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