Answer to Question 1
ANS: A, B, C
Patients should be assessed thoroughly and educated about what to expect prior to a medication abortion. The nurse should advise the patient to call upon a trusted friend or relative to stay with her and provide emotional support during the process. Some women are more accepting of a medication termination of pregnancy, finding it more natural than a surgical procedure. The woman should be told to expect uterine cramping beginning several days after medication administration, and then painless, heavy bleeding with the expulsion of the products of conception. The nurse should assess the patient's potential for being traumatized by that experience. Coping mechanisms should be assessed, but specifically focusing on substance abuse as a coping method is judgmental. The priority education is focused on preparing the woman for the abortion; discussing birth control options can be handled at the follow-up visit.
Answer to Question 2
ANS: B, C, E
All IUD patients must understand warning signs (PAINS) that may indicate infection or ectopic pregnancy: Period late (pregnancy); Abdominal pain; pain with intercourse (infection); Infection exposure or vaginal discharge; Not feeling well, fever, or chills (infection); String missing, shorter, or longer (IUD expelled).
The nurse is using Standard Precautions to draw blood.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
A nurse adjusts the rate of a client’s IV.
Injecting an IV push (bolus) medication; B, into a primary infusion line
Vaginal medication administration: (b) proper insertion of the NuvaRing.
WOMAN FROM WILLENDORF