Question

The nurse admits a female client to the emergency department who arrives with a black eye and reports of headache, chronic pain, GI problems, menstrual irregularities, and anxiety. A previous physical workup was negative. The nurse should assess the client for which priority problems? Select all that apply.

1.Premenstrual syndrome
2.Physical or sexual abuse
3.Irritable bowel syndrome
4.Self-destructive potential
5.Migraine headache

Answer 1

The nurse should prioritize assessing the client for physical or sexual abuse, migraine headaches, and self-destructive potential given the combination of symptoms presented.

Step-by-step explanation:

In assessing a female client who presents with a black eye, reports of headache, chronic pain, GI problems, menstrual irregularities, and anxiety, the nurse should prioritize checking for several potential issues. Given the presentation, the priority problems the nurse should assess the client for include:

• Physical or sexual abuse: The black eye and chronic pain could be indicative of ongoing abuse, an issue that requires immediate attention.
• Migraine headache: The report of headaches could suggest migraines, especially as they are mentioned to be associated with other symptoms like an upset stomach and disturbed vision, and are more prevalent in women.
• Self-destructive potential: Mental health concerns such as anxiety and chronic pain may indicate a potential for self-harm, which necessitates prompt intervention.

Premenstrual syndrome and irritable bowel syndrome could be considered as differential diagnoses, but out of the options provided, the priority should be given to assessing for the above issues first.