Exam (elaborations)
Ectopic Pregnancy - HESI Case Study (Chloe CC- Serious Pain In Her Lower Right Abdomen)
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Ectopic Pregnancy - HESI Case Study (Chloe CC- Serious Pain In Her Lower Right Abdomen)
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Ectopic Pregnancy - HESI Case Study (Chloe CC- SeriousPain In Her Lower Right Abdomen)
Chloe 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-degrees
F (36.8-degrees C), P 80 beats/min, R 20 breaths/min, BP 126/68 mmHg, 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 signs of pain in the right lower
quadrant of the abdomen. Chloe's husband David 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.
Which tests does the nurse anticipate the healthcare provider (HCP) will
request after considering Chloe's history and symptoms? (Select all that
apply). ✔️- Serum quantitative β-hCG level.
Transvaginal ultrasound.
Complete Blood Count (CBC).
Progesterone serum level.
Assess client for Cullen sign.
Based on the provided results, the nurse can infer which of the following?
✔️- The client is pregnant but no fetal sac noted in uterus.
The client asks the nurse about the function of hCG. Which is the nurse's best
response? ✔️- It is produced during pregnancy by the chorionic villi. It
helps support a pregnancy by allowing for the production of progesterone and
estrogen until the placenta takes over the function.
What is the nurse's best response to the client? ✔️- "Spotting or light
bleeding can occur, but you also mentioned that your menstrual cycle was
later than usual for you."
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