The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?

A 19-yr-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness.

A 35-yr-old client with heavy spotting after having a progestin- containing IUD (Mirena) inserted a month ago.

A 39-yr-old client who is complaining of 4/10 pain after an abdominal hysterectomy.

A 42-yr-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago.

Answer and Explanation

The Correct Answer is A

A. A 19-year-old client with menorrhagia who has been using superabsorbent tampons and has fever with weakness: This is the correct choice. Fever and weakness in the context of menorrhagia suggest a possible infection (e.g., toxic shock syndrome) or severe blood loss, which requires immediate evaluation and intervention.

B. A 35-year-old client with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago: Spotting after IUD insertion is common and does not suggest an immediate threat to the client’s health.

C. A 39-year-old client who is complaining of 4/10 pain after an abdominal hysterectomy: Mild pain after a hysterectomy is expected and not an emergency.

D. A 42-year-old client with secondary amenorrhea who says that her last menstrual cycle was 3 months ago: While secondary amenorrhea requires evaluation, it is not as urgent as a client with signs of possible infection or blood loss.

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. Early menarche increases lifetime exposure to estrogen, raising breast cancer risk.

B. Age is a significant risk factor for breast cancer.

C. Genetic factors, like BRCA mutations, increase the risk.

D. History of multiple births is generally protective against breast cancer.

A. Blood glucose of 182 mg/dL B. History of high cholesterol C. Elevated liver enzymes D. History of peptic ulcers

Correct Answer is C

Explanation

A. Blood glucose elevation is a concern for statins, but it is not a primary reason for questioning the order.

B. A history of high cholesterol is common and would not trigger concern regarding lovastatin.

C. Lovastatin can cause liver toxicity, so elevated liver enzymes are a contraindication or cause for concern when prescribing this medication. The nurse should verify this before starting the medication.

D. A history of peptic ulcers is unrelated to the use of lovastatin and would not be a concern in this case.

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The nurse in the women's health clinic has four clients who are waiting to be seen. Which client should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is taking a history of a 68-year-old woman. What assessment findings would indicate a high risk for the development of breast cancer? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

After reviewing the client's chart upon admission to the unit, the nurse consults the healthcare provider about a new order for lovastatin (Mevacor). What triggered the nurse's action?

Correct Answer is C

Explanation

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