Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems 11th Edition TEST BANK[Distinction level] 2023

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. 22-year-old with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy b. 42-year-old with secondary amenorrhea who says that her last menstrual cycle was 3 months ago c. 35-year-old with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago D. 19-year-old with menorrhagia who has been using superabsorbent tampons and has fever with weakness Rational: The patients history and clinical manifestations suggest possible toxic shock syndrome, which will require rapid intervention. The symptoms for the other patients are consistent with their diagnoses and do not indicate life-threatening complications. -A healthy 28-year-old who has been vaccinated against human papillomavirus (HPV) has a normal Pap test. Which information will the nurse include in patient teaching when calling the patient with the results of the Pap test? - -Pap testing is recommended every 3 years for women your age. -To prevent pregnancy in a patient who has been sexually assaulted, the nurse in the emergency department will plan to teach the patient about the use of - -levonorgestrel (Plan-B One-Step). Rational: Plan B One-Step reduces the risk of pregnancy when taken within 72 hours of intercourse. The other methods are used for therapeutic abortion, but not for pregnancy prevention after unprotected intercourse. -A 22-year-old tells the nurse that she has not had a menstrual period for the last 2 months. Which action is MOST important for the nurse to take? - -A. Obtain a urine specimen for a pregnancy test. b. Ask about any recent stressful lifestyle changes. c. Measure the patients current height and weight. d. Question the patient about prescribed medications. Rational: Pregnancy should always be considered a possible cause of amenorrhea in women of