A nurse at a provider’s office is

A nurse at a provider’s office is caring for a client who is 28 years of age. Exhibit 1 Exhibit 2 Exhibit 3 History and Physical Day 1 at 1000: Gravida 3, Para 2, Abortion 1 Asthma (managed with levalbuterol inhaler as needed) Pelvic inflammatory disease (PID) Spontaneous vaginal delivery X 2 (hypertension with first pregnancy at 20 years of age) Voluntary termination of pregnancy (3rd pregnancy) Nurses’ Notes Day 1 at 1000: Client presents to the office with concerns of late menses, abdominal pain, and scant dark red vaginal spotting. Client reports menstrual period is usually regular and is 2 weeks late. Last menstrual period: 2/20/XX. Client reports occasional dull abdominal pain and rates it as 2 on a 0 to 10 pain scale. Client is alert and oriented, appears anxious. Speech clear. Skin warm and dry to touch. Heart rate regular at 90/min. Respirations even and non-labored. Lungs slight inspiratory wheezes. Bowel sounds hyperactive in all four quadrants. Abdomen tender to touch right lower quadrant. Perineal pad with scant amount of dark red vaginal spotting. Vital Signs Day 1 at 1000: Temperature 37.2° C (98.9° F) Heart rate 90/min Respirations 16/min Blood pressure 120/74 mm Hg Oxygen saturation 97% room air Select the 3 findings that require immediate follow-up. Heart rate Abdomen assessment Respiratory assessment Vaginal spotting Bowel sounds Menstrual period Oxygen saturation Temperature Complete the following sentence by using the list of options. The nurse should first address the client’s Select… hear rate, bowel sounds lung sounds followed by the client’s Select…vaginal spotting, hemoglobin level, anxiety The nurse is collaborating with another nurse about the client’s plan of care. For each potential provider’s prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. Potential Order Anticipated Contraindicated Transvaginal ultrasound Meperidine IM Repeat quantitative β-hCG level Methotrexate IM Blood typing The nurse is preparing the client for surgery. Which of the following actions should the nurse take? Select all that apply. Ensure the client is NPO prior to surgery. Administer Rho D immune globulin prior to surgery. Prepare to administer AB positive blood products if needed. Insert an 18-gauge peripheral IV prior to surgery. Explain the surgical procedure to the client. Obtain a complete blood count. Verify a consent form is signed by the client. SCIENCE HEALTH SCIENCE NURSING NURSING 3

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