The nurse in a prenatal clinic finds that four clients have ...

[geodog55]

The nurse in a prenatal clinic finds that four clients have called with complaints related to their pregnancies. Which call should the nurse return first?
 
  1. Pregnant woman at 7 weeks' gestation reporting nasal stuffiness
  2. Pregnant woman at 38 weeks' gestation experiencing rectal itching and hemorrhoids
  3. Pregnant woman at 15 weeks' gestation with nausea and vomiting and a 15-pound weight loss
  4. Pregnant woman at 32 weeks' gestation treating constipation with prune juice

Question 2

A patient who is in perimenopause is having a number of severe symptoms. The nurse assesses this patient and knows the doctor will likely prescribe what to assist in relieving the distress?
 
  1. Calcium and vitamin D
  2. A form of hormonal contraception
  3. Prescriptive pain medication
  4. Antibiotics

[tmlewis4706]

Answer to Question 1

3
Explanation: 3. The nurse should return this call first because this patient is the highest priority. A 15-pound weight loss is not an expected finding. Although some nausea is common, the woman who suffers from extreme nausea coupled with vomiting requires further assessment.

Answer to Question 2

2
Rationale 1: Calcium and vitamin D are encouraged, but the doctor does not have to prescribe these.
Rationale 2: This is the correct answer, as pregnancy can still be a concern, plus the estrogen will relieve other symptoms, such as hot flashes and vaginal dryness.
Rationale 3: There is no reason to prescribe pain medication, as pain is not an issue.
Rationale 4: There is no reason for antibiotics, because perimenopausal symptoms do not include infection.