Gynecological
Emergencies
Emergencies
A woman is admitted to the ED with complaints of lower abdominal pain, smelly vaginal discharge, pain with intercourse, and burning with urination. Her vital signs are stable, and she has no other symptoms. Treatment for this patient will likely include
antibiotics
What action is most important for a nurse when caring for potentially violent patients?
always maintain an open pathway to the door
What lab test is indicative of septic shock?
serum lactate level
A patient arrives to the ED with a grossly deformed shoulder injury obtained while surfing. What nursing interventions should be implemented?
NPO, apply ice
The nurse is caring for a patient who just had a lumbar puncture. what assessment finding would prompt the nurse to notify the provider?
severe headache
32 year old female complaining of abdominal pain described as sharp and states it began suddenly during intercourse. Pain is worse with movement and no vaginal discharge noted. These findings indicate a diagnosis of
ruptured ovarian cyst
The nurse is caring for a patient with delirium who tells the nurse "There are snakes crawling up on my bed." What is an appropriate response?
"I know you are scared, but I do not see any snakes on your bed"
acknowledge fear but reinforce reality
A patient is admitted to the ED with nausea vomiting and diarrhea for 3 days and signs of severe dehydration. The nurse starts and IV and prepares to administer what type of fluid?
isotonic crystalloid
What treatment is appropriate for a minor blunt injury resulting in intact skin, ecchymosis, edema, and localized pain and tenderness?
rest, ice, compression, elevation, NSAIDs
The nurse is caring for a patient with a TBI who has a GCS of 7. The nurse should anticipate the need to
assist with intubation
Patient reports to ED complaining of burning on urination and urethral itching. During the assessment the nurse notes a mucopurulent discharge and no lesions. This is indicative of
chlamydia
With a pediatric patient an Emergency Department nurse is required to report
Any suspected abuse or injury that might have resulted from abuse or neglect.
including but not limited to Sexual abuse, Serious physical injury, A suspicious death
A patient presents to the ED with complaints of dizziness and fatigue. Past history of HIV and is noncompliant with antiviral medications. Temp 101.2F, BP 100/72, HR 130, RR 22, O2 96%. What is the nurses priority intervention?
Blood cultures and antibiotics
How frequently should a limb with a tourniquet applied be assessed?
2 hours
A patient presents to the ED with a subarachnoid what symptoms would the nurse expect the patient to report
"worst headache of my life", nausea, vomiting
Lower abdominal pain worse with movement, non-malodorous vaginal discharge, fever and tachycardia are signs and symptoms of?
pelvic inflammatory disease
What is an example of the therapeutic technique of restating?
In response to "I lost my world when my mom died. Now I have no one."
Say: "You're feeling lost since your mother died."
A patient with renal failure has a potassium level of 7.2. What should the nurse should prepare to administer?
calcium gluconate
A seventeen-year-old is brought to the emergency department complaining of leg pain after a motor vehicle crash. X-rays show a fracture of the femur with several bone fragments at the fracture site. You note that the skin above the fracture site is intact but bruised. This type of fracture is called:
closed, comminuted fracture of the femur.
Patient is brought into the ED with seizures. The patient begins having another seizure. The nursing priority is
turning the patient on their side
A 16 year old female is brought to the ED complaining of abdominal pain, nausea and sharp bilateral pelvic pain. She has a history of pelvic inflammatory disease and is not sexually active. The nurse notes a purulent vaginal discharge. These are signs and symptoms of what condition?
tubo-ovarian abscess
What is a contraindication to taking fluoxetine?
glaucoma
A patient arrives to the ED after taking a sedative and subsequently becoming confused and disoriented. Temperature 96.2F pulse 47 with distant heart tones, and BP 82/65. States he is receiving thyroid replacement therapy. What should the nurse suspect?
myxedema coma
What is a complication of compartment syndrome noted by a urinalysis showing myoglobinuria?
rhabdomyolysis
A college student is confirmed to have meningitis via lumbar puncture. What would the nurse find in the patient assessment if the patient developed hydrocephalus?
inability to move eyes laterally, urinary incontinence, increased ICP, declining LOC.