Question

. The client is admitted to the emergency room with a tentative diagnose of ectopic pregnancy. The nurse should be least concerned with: ? A. Controlling bleeding ? B. Preventing infection ? C. Preserving the pregnancy ? D. Controlling pain

Short answer

Answer: Preserving the pregnancy

Step-by-step solution

Understanding Ectopic Pregnancy

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in a fallopian tube. This condition can be life-threatening for the mother, as the growing embryo can cause the fallopian tube to rupture, leading to severe internal bleeding. The primary goals of management in this situation are to stabilize the patient, control bleeding, and prevent complications such as infection.

Analyzing the Options

Now, let's analyze each option: A. Controlling bleeding: This is a high priority, as internal bleeding can be life-threatening for the patient. B. Preventing infection: It is important to ensure that the patient does not develop any infections from the procedure to prevent complications. C. Preserving the pregnancy: Since an ectopic pregnancy cannot progress normally, the only option is to remove the embryo, either with medication or surgery. Therefore, preserving the pregnancy is not a priority in the treatment process. D. Controlling pain: Pain management is essential for providing comfort, but it might not be as high of a priority as controlling bleeding or preventing infections.

Selecting the Correct Answer

Based on the priorities of managing ectopic pregnancy, it's clear that the nurse should be least concerned with preserving the pregnancy (Option C), as it cannot progress normally. The main priorities are to stabilize the patient, control bleeding, and prevent complications such as infections and severe pain.