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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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Narutooooo Narutooooo
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6 years ago
A 22-year-old woman presents to the emergency department with abdominal pain and vaginal bleeding. Her blood pressure is 90/58 mm Hg, her pulse is 120 beats/minute, and she complains of dizziness.
 
  Which action by the nurse takes priority?
  A.
  Assess the woman for sexually transmitted infections.
  B.
  Collect a urine sample for pregnancy testing.
  C.
  Obtain informed consent for a salpingectomy.
  D.
  Start two large-bore IVs for fluid replacement.
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#1
6 years ago
ANS: D
This patient has both signs (hypotension, tachycardia) and symptoms (complaints of dizziness) of acute volume loss. The nurse should consider a ruptured ectopic pregnancy as a possible problem in this patient and assess her for other manifestations and risk factors. However, the priority is starting large-bore IV lines for fluid resuscitation. The nurse may need to obtain informed consent for an operative procedure once a definitive diagnosis is made.
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