A nurse performs an admission assessment on a 75-year-old client with multiple chronic diseases. The client’s blood pressure is 135/75 mm Hg and oxygen saturation is 94% on 2 L per nasal cannula. The nurse assesses the client’s rhythm on the cardiac monitor and observes the reading shown below:What action would the nurse take first?
Read DetailsA 24 year old presents to the office with a painful lump on her right vulva. She can barely walk because of the pain. She is currently sexually active and has had a total of 6 partners in life. She is otherwise healthy. What do you expect to see on exam?
Read DetailsA 36 year old woman G4P4 presents for contraceptive counseling. Her past surgical history is significant for four cesarean deliveries. She has an asymptomatic 12 week sized fibroid uterus. Her past medical history is significant for obesity, which she feels worsened after her use of depot medroxyprogesterone acetate ( Depo-Provera) and a pulmonary embolism following her last delivery. She does not desire future fertility. The most appropriate contraceptive option for her would be:
Read DetailsA 32 year old G2P1 who is about 8 weeks pregnant presents to the office with vaginal bleeding. Her last beta hcg was 4500 and two days ago she had an ultrasound which showed a fetal pole, but no heart beat. An ultrasound today shows an empty sac with some material near the cervix. You do a speculum and see that her cervix is open. What is her diagnosis?
Read Details68-year-old woman, gravida 3, para 3, presents with loss of urine with coughing and sneezing. Her symptoms are worse when she exercises. She denies urinary urgency. She underwent an abdominal hysterectomy with bilateral salpingo-oophorectomy 20 years ago for abnormal bleeding. On examination, she is 62″ and weighs 180 pounds. Her abdomen is obese without masses or tenderness. On pelvic examination, her vagina is atrophic and she has slight descent of the vaginal vault. There are no palpable masses. What is her likely diagnosis?
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