A nurse at a provider's office is caring for a client who is 28 years of age: Select 3 findings that
require immediate follow-up
1. Heart rate
2. Abdomen assessment
3. respiratory assessment
4. Vaginal spotting
5. Bowel sounds
6. Menstrual period
7. Oxygen saturation
8. Temperature —Answer: Abdomen assessment
vaginal spotting
Menstrual period
The nurse is reviewing the client's electronic medical record. which of the following actions
should the nurse take: Select the 5 actions that the nurse should perform
© 2025 All rights reserved
,1. Place the client on seizure precautions
2. Administer magnesium sulfate IV bolus as prescribed
3. Monitor the client's blood pressure every hour
4. obtain creatinine, platelet, BUN, and liver enzymes as prescribed
5. Assess for worsening headache and epigastric pain hourly and PRN
6. Monitor level of consciousness, DTRs and visual disturbances hourly —Answer: 1. Place on
seizure precautions
2. Administer magnesium sulfate IV Bolus as prescribed
4. Obtain the creatinine, plateler, BUN, and liver enzymes values as prescribed
5. Assess for worsening headache and epigastric pain hourly an PRN
6. Monitor level of consciousness, DTRs, and visual disturbances hourly
A nurse at a provider's office is caring for a client who is 28 years of age. After reviewing the
client's current assessment findings, the nurse should identify that the client i experiencing
______________(condition) as evidence by ____________(findings)
Condition:
© 2025 All rights reserved
, -abruptio placentae
- acute asthma attack
-pyelonephritis
-ectopic pregnancy
-placenta previa
Findings:
-a history of regular menstrual period
- right lower quadrant abdominal tenderness
-hyperactive bowel sounds
-temperature
-respiratory rate —Answer: Ectopic pregnancy
right lower quadrant abdominal tenderness
The nurse has reviewed the recent Nurse's Notes and the Diagnostic results. click to highlight
the findings that indicate the client's condition is not improving.
- Clonus positive. DTR 4+
-Reports headache as 4 on a 0 to 10 pain scale
- Hgb 11g/dl (>11g/dl)
© 2025 All rights reserved