A woman is having hysterosalpingography and begins complaining of ...

[jparksx]

A woman is having hysterosalpingograp hy and begins complaining of severe left shoulder pain. What action by the nurse is best?
 
  A.
  Administer morphine sulfate, 1-2 mg intravenously.
  B.
  Ask the patient if she took a nonsteroidal anti-inflammatory drug (NSAID) prior to the procedure.
  C.
  Determine exactly where the woman is in her monthly cycle.
  D.
  Inform the physician so the procedure can be stopped.

Question 2

A nurse is reviewing a 36-year-old woman's chart. The woman has the diagnosis of infertility. What does the nurse conclude about this woman?
 
  A.
  Has a medical condition that prevents pregnancy
  B.
  Has been attempting to get pregnant for 12 months
  C.
  Has delayed pregnancy and childbirth for too long
  D.
  Has not conceived in 6 months of actively trying

[johnpizzaz]

Answer to Question 1

ANS: B
During this procedure, women should be told that they may experience moderate to severe cramping and shoulder pain from subdiaphragmatic gas collection. This symptom is usually prevented by administering an NSAID, such as ibuprofen (Motrin), 30 minutes to 1 hour before the procedure. The nurse should assess if the woman has taken an NSAID prior to the procedure. Morphine sulfate is not warranted, nor is stopping the procedure. Although the test is performed during a specific part of the woman's monthly cycle (during the follicular phase to prevent possible termination of an early pregnancy), the side effects will not be different in other phases.

Answer to Question 2

ANS: D
Infertility is diagnosed if a woman age 34 or younger has not conceived within 12 months of actively trying. For women 35 and older, the timeframe decreases to 6 months. The other statements are not valid conclusions about this patient.