Also, risks associated with the use of an IUD, such as infection and scarring, need to be communicated to the patient. Secondary nursing goals are related to phases of diagnosis, treatment, and recovery. Patients need reassurance and clear explanations as they progress through the diagnostic process. Knowledge of anatomy is helpful to understanding what the diagnosis of ectopic pregnancy will mean. The nurse can support the patient by balancing needs for both privacy and access to the support of family members.
Ectopic pregnancy is both frightening and life-threatening.
The possibility of a ruptured tube and resultant hemorrhage necessitates close monitoring for signs of shock even during simple nursing actions like repositioning. The nurse can assess for blood loss by frequent observations of vital signs and peripad drainage. Prepare for emergencies by maintaining a large-bore, IV catheter in patients who exhibit such signs and symptoms of internal hemorrhage, such as hypotension, tachycardia, cool and clammy skin, restlessness, and marked abdominal tenderness. Despite careful assistance with positioning during the pelvic exam, ultrasonography, and other procedures, patients may require coaching in breathing techniques and analgesics to combat extreme pain. As diagnosis becomes complete, these women may quickly become preoperative patients.