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

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

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

A 22-yr-old patient with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy

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

Answer and Explanation

The Correct Answer is B

Choice A rationale: The 42-yr-old patient with secondary amenorrhea may have menopause, pregnancy, or a hormonal disorder. This is less urgent compared to the 19- year old patient.

Choice B rationale: This patient may have toxic shock syndrome, which is a life- threatening complication of tampon use that can cause organ failure and shock. The nurse should assess the patient's vital signs, remove the tampon, and initiate fluid resuscitation and antibiotic therapy.

Choice C rationale: This patient may have an infection or a complication of the balloon thermotherapy, which is a procedure to destroy the endometrial lining of the uterus and is not an emergency compared to the 19 year old.

Choice D rationale: This patient may have a displacement or perforation of the IUD, which is a contraceptive device that releases progestin into the uterus. However, this is not urgent compared to the 19 year old.

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Correct Answer is A

Explanation

Choice A rationale: While it can be used for muscle spasms associated with musculoskeletal conditions, it's not primarily used as a first-line treatment for osteoarthritis pain and inflammation.

Choice B rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to relieve pain and inflammation associated with osteoarthritis.

Choice C rationale: It's a medication used for chronic pain conditions, including OA- related pain.

Choice D rationale: Often used for mild to moderate OA pain relief, it's a common medication for OA management.

A. Peyronie's disease B. Hypospadias C. Phimosis D. Orchitis

Correct Answer is A

Explanation

Choice A rationale: This is a condition that causes scar tissue to form in the penis, resulting in abnormal curvature, pain, and erectile dysfunction.

Choice B rationale: Hypospadias is a congenital defect in which the opening of the urethra is on the underside of the penis, not at the tip.

Choice C rationale: Phimosis is a condition in which the foreskin of the penis cannot be retracted fully, leading to inflammation and infection.

Choice D rationale: Orchitis is an inflammation of one or both testicles, usually caused by an infection.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client newly diagnosed with osteoarthritis (OA) about drugs used to treat the disease. For which drug does the nurse less likely plan health teaching?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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