Question

a nurse at the family clinic triage several clients over the phone. Which of the following clients should the nurse instruct to come to the clinic?

a. a client who uses a diaphgram for contraception and has lost 30 lb in the pats 6 months dieting

b. a client who had an intrauterine device (IUC) inserted yesterday and has cramping and bleeding.

c. a client who has started taking oral contraceptives and is experiencing bright red vaginal breakthrough bleeding

d. a client who has sharp pain in her shoulder following a laparascopic tubal yesterday

Answer 1

Correct option is A - a client who uses diaphragm for contraception and has lost 30lbs in past 6 months dieting

Because substantial weight gain or weight loss of 10 lb or more may shift potential relationship of pelvic organs enough that diaphragm no longer fits correctly . Thus need to visit clinic so nurse will instruct this client to come clinic.

Other options are incorrect. As option b states cramping and bleeding after IUD insertion yesterday which is very common after intrauterine device insertion thus no need to come to clinic and can be managed at home as easily seen in first 2 to 3 weeks after iud.

Option c is also incorrect because client who started taking oral contraceptives and is experiencing bright red vaginal breakthrough bleeding which is normal after starting oral contraceptives due to changes in hormonal balance.

Option d is also incorrect as shoulder pain following laparascopic tubal yesterday is very common after laparascopic tubal and it is not any severe condition that need to be assessed at clinic.

CORRECT OPTION IS A

PLEASE UPVOTE IF YOU FIND IT SATISFACTORY. COMMENT IF ANY DOUBT.