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 D

Explanation

Choice A rationale: Metronidazole is not typically used to treat genital warts caused by HPV.

Choice B rationale: HPV can be transmitted through various forms of sexual contact, including oral sex.

Choice C rationale: Condoms reduce but do not eliminate the risk of HPV transmission. Choice D rationale: Genital warts caused by HPV increase the risk of cervical cancer,

necessitating regular Pap smears for monitoring and early detection.

A. Increases insulin release from the pancreas, inhibits glucagon secretion, and decreases gastric emptying. B. Reduces glucose production by the liver and enhances insulin sensitivity. C. Slows the absorption of carbohydrate in the small intestine. D. Increases insulin production from the pancreas.

Correct Answer is B

Explanation

Choice A rationale: Metformin does not significantly affect insulin release from the pancreas or glucagon secretion but reduces glucose production by the liver and enhances insulin sensitivity in tissues.

Choice B rationale: Metformin primarily works by reducing glucose production in the liver and improving the body's response to insulin, thereby lowering blood sugar levels.

Choice C rationale: Metformin does not notably slow carbohydrate absorption in the small intestine.

Choice D rationale: Metformin does not directly increase insulin production from the pancreas.

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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

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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