The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Negative pregnancy test

Prothrombin time of 40 seconds

Hemoglobin level of 10.1 g/dl

Serum cholesterol of 140 mg/dl

Answer and Explanation

The Correct Answer is B

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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Correct Answer is A

Explanation

Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.

A. Cervical cap B. Cervical sponge C. Condom D. Spermicide

Correct Answer is A

Explanation

Choice A rationale
A cervical cap is a small, thimble-shaped cup made of silicone that fits over the cervix to prevent sperm from reaching an egg. It must be fitted by a healthcare provider and requires a prescription.
Choice B rationale
The cervical sponge is a type of birth control that does not require a prescription. It is a small, donut-shaped device made of soft plastic foam that is inserted into the vagina before sex.
Choice C rationale
Condoms are a type of birth control that do not require a prescription. They are a barrier method that prevents sperm from reaching an egg.
Choice D rationale
Spermicide is a type of birth control that does not require a prescription. It is a chemical that kills sperm and is often used with other birth control methods to increase effectiveness.

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The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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