A nurse is caring for a 28-year-old female client in the emergency department. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
The client is most likely experiencing an ectopic pregnancy. Here's why: Symptoms: The client presents with intermittent vaginal bleeding and dull left lower quadrant abdominal pain, which are common symptoms of an ectopic pregnancy. Physical Examination: Tenderness upon palpation in the left lower quadrant and an enlarged uterus consistent with 8 weeks of gestation are also indicative of an ectopic pregnancy. Actions to Take Perform ultrasound: To confirm the diagnosis and locate the ectopic pregnancy. Administer IV fluids: To stabilize the client and prepare for potential surgical intervention. Parameters to Monitor Vaginal bleeding: To assess the severity and progression of the bleeding. Blood pressure: To monitor for signs of internal bleeding or hemodynamic instability.