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The nurse is assessing a client with suspected endometriosis. Which of the following findings would support a diagnosis of endometriosis?
Dyspareunia
Hot flashes
Weight gain
Amenorrhea
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- Discuss the nursing interventions for a patient with endometriosis.A nurse explains that the efficiency of the basal body temperature method of contraception depends on fluctuation of the basal body temperature. What factor will alter its effectiveness? 1. Presence of stress 2. Length of abstinence 3. Age of those involved 4. Frequency of intercourseCASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could be pregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Explain briefly the terminologies/statements in the case (bold and underlined) 2. What…
- A client who is admitted with complications related to hypopituitarism is diaphoretic and hypotensive. Which assessment findings warrants immediate interventions by the nurse?CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting apregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis:1. What specific parts of the female reproductive system is affected in this case? 2. What…note that matches each definition below Chart Note PATIENT NAME: Thomas, Richard MR NUMBER: 551682 EXAMINATION DATE: August 29, 20xx SUBJECTIVE Patient complains of scrotal and genital pain. There is also dysuria often associated with purulent discharge. OBJECTIVE Richard is a sexually active 20-year-old male, who by his own admission, does not routinely use a condom. Physical exam reveals small, palpable lump on the lateral aspect of his left testis. ASSESSMENT Evaluate for gonorrhea. PLAN Culture test for gonorrhea.
- CASE:Chief Complaint: InfertilityBackground: Ms. L.C. is a 34 year old female presenting with concerns of infertility. She has been attempting a pregnancy over the past 16 months with no success. Patient reports that several times she thought she could bepregnant due to a cessation in her menses with accompanying constipation and some abdominal pain. Patient also reports pain that is more intense during menstruation, with “sharp and stabbing” characteristics that is not relieved by use of NSAIDs or hot compresses. The pain radiates from her lower abdominal area into her flanks, which she rates to be a 6 on a scale of 1-10. Patient reports her cycle can be irregular, with the length ranging up to 25-38 days or occasionally no period at all. She is concerned that her and her husband have not had enough intercourse for a pregnancy due to dyspareunia and general pelvic pain. Diagnosis: Endometriosis 1. Discuss the specific structure involved as to:a. The structure/ anatomyb. The function/…Which intervention should the nurse include in the teaching plan for a client with pruritus?please make a justification/explanation of this nursing diagnosis according to maslow. include the references used also: DX: Risk for uterine infection related to abnormal uterine bleeding as evidenced by endometrial polyp
- Nursing Diagnosis: Risk for injury (maternal and fetal) related to prolonged laborwith ineffective contractions and requiring oxytocin augmentation What would be the Interventions for the patients with this kind of diagnosis?Recognize risk factors for postpartum hemorrhage. Identify postpartum hemorrhage due to uterine atony. Demonstrate teamwork and communication skills during a simulated postpartum hemorrhage. Mrs. Marla Togan is a 38-year-old G3P2 who was admitted in active labor at 39 + 3 weeks and had a spontaneous vaginal delivery 30 minutes ago. Her delivery was uncomplicated. She had a first-degree laceration that did not require repair. She is approximately 30 minutes postpartum and has just called out because she is feeling dizzy and had more bleeding. Her initial vitals are - BP 130/80, HR 105bpm, R 18bpm, EBL (expected blood loss) 500cc. Her vitals now read - BP 90/66, HR 125bpm, R 22bpm, EBL 1000cc (American College of Obstetrician and Gynecology 2019). Lab Data Hemoglobin: 12.2 Hematocrit: 36.6 WBC: 12,000 Platelets: 218,000In written word, outline information and nurse considerations for educating patients on the following topics: Cervical insufficiency Hydatidiform mole ABO and Rh incompatibilities