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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Phenazopyridine can cause a harmless side effect of turning urine a reddish-orange color.
Choice B rationale: Phenazopyridine is not contraindicated in individuals allergic to penicillin.
Choice C rationale: Phenazopyridine is not an antibiotic; it's a medication used to relieve urinary pain. Antibiotics are prescribed separately to treat UTIs.
Choice D rationale: Phenazopyridine should be taken with food or after eating to minimize stomach upset, but it doesn't need to be taken between meals or at bedtime.
Correct Answer is A
Explanation
Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about
gastrointestinal function.
Choice B rationale: Percussion involves tapping the abdomen to assess density or abnormal masses but usually follows auscultation.
Choice C rationale: Palpation, both light and deep, follows percussion in the sequence of an abdominal examination.
Choice D rationale: Similar to light palpation, deep palpation follows auscultation and percussion in the sequence of an abdominal examination.
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