NURSING > HESI > NURS 649 Ectopic Pregnancy-REVIEWED AND VERIFIED BY EXPERTS 2021 (All)

NURS 649 Ectopic Pregnancy-REVIEWED AND VERIFIED BY EXPERTS 2021

Document Content and Description Below

Ectopic Pregnancy - HESI Meet the Client: Darlene Hall Darlene Hall is a married 25-year-old female who works as an attorney. She has been married to her husband James for 2 years. Darlene has no significant medical history and no obstetric history. Her surgical history includes tubes in her ears at 3 years old. She is a social drinker but does not smoke tobacco or use illicit drugs. Her father has hypertension, and her mother had gallbladder disease in her 40s, but the rest of her family has a benign medical history. Instructions: While taking this case study, all questions must be answered correctly before you will be able to proceed to the next page. For all incorrect answers, select a new response and click the Next button. When all questions have been answered correctly, clicking the Next button will display the next page. Page 1 1. Initial History and Assessment Darlene presents to the Emergency Department (ED) at 0615. She reports that she was awakened in the middle of the night with serious pain in her lower right abdomen accompanied by nausea and an episode of vomiting. Admission assessment by the registered nurse (RN) reveals the following: T 98.4° F (36.8° C), P 80, R 20, BP 126/68, pain 9/10 on the pain scale, and her last menstrual period (LMP) was “about a month ago.” Her heart rate is regular, and her lungs are clear to auscultation bilaterally. Palpation of the abdomen elicits complaints of pain in the right lower quadrant of the abdomen. Darlene’s husband James is at her bedside. He suspects that his wife is having an appendicitis attack and is concerned that no ultrasound or blood tests have been done. 2. 1.ID: 6975250373 Which test(s) does the RN anticipate that the healthcare provider (HCP) will order after considering Darlene’s history and symptoms? (Select all that apply.) A. Urinalysis (UA) Correct Urinalysis (UA) could reveal a urinary tract infection, a kidney infection, or dehydration. B. Urine pregnancy test CorrectAbdominal pain is a common symptom that can occur in early pregnancy, and a urine pregnancy test is a sensitive indicator of pregnancy. C. Complete Blood Count (CBC) Correct An increased white blood cell (WBC) count can indicate an infection. D. McBurney’s point Correct McBurney’s Point is located midway between the anterior iliac crest and the umbilicus in the right lower quadrant (RLQ). This is the classic area for localized tenderness during late stages of appendicitis. E. Abdominal x-ray An abdominal x-ray is not used to identifying an inflamed appendix, and the uterus is often not seen on an abdominal x-ray. F. Serum human chorionic gonadotropin (hCG) Correct hCG is the hormone that indicates a positive pregnancy. Correct Awarded 1.0 points out of 1.0 possible points. Page 2 1. Based on Darlene’s symptoms, the HCP in the ED orders a UA, urine pregnancy test, CBC, and serum hCG. The results of these tests are as follows: CBC Results Urinalysis Results Component Normal Results WBC 3.8-11.0 K/UL 4.0 K/UL RBC 3.50-5.50 MIL/UL 4.59 MIL/U

[Show More]

Last updated: 3 years ago

Preview 1 out of 15 pages

Buy Now

Instant download