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A nurse is caring for a 24-year-old client.

No known medication allergies. No chronic medical conditions or current medications. History of laparoscopic appendectomy at 8 years old.

 

Vital Signs

Visit #1:

Temperature: 37.2° C (99° F)

Pulse rate: 88/min

Respiratory rate: 14/min

BP: 118/78 mm Hg

Oxygen saturation: 99%

 

Visit #2:

Temperature: 37.2° C (99° F)

Pulse rate: 94/min

Respiratory rate: 18/min

BP: 116/72 mm Hg

Oxygen saturation: 98%

 

Nurses Notes

Visit #1:

Client states, “I was supposed to have my period about 2 weeks ago. My breasts are really tender, and I feel like throwing up a lot. I’m worried I might be pregnant.” Clean-catch urine specimen obtained. 

Visit #2:

Client is at 11 weeks of gestation. Client states, “I’m still pretty nauseous some days, but I’ve only thrown up 3 or 4 times since I was here last month.” Reports increased vaginal discharge and mild vaginal bleeding with lower abdominal cramping following sexual intercourse. Denies fever, chills. Vaginal and endocervical specimens obtained by provider for STI testing. 

 

Diagnostic Results

Visit #1:

Urine hCG: positive 

 

Visit #2:

Chlamydia: positive (reference range: negative)

Gonorrhea: positive (reference range: negative)

Herpes simplex virus: negative (reference range: negative)

Image transcription text

A nurse is caring for a 24-year-old client. For each
potential prescription from the provider, click to
specify if the potential prescription is … Show more

 

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