VATI ATI Comprehensive Predictor 2023 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D because sharp pain in the shoulder following a laparoscopic tubal ligation could indicate a serious complication like a diaphragmatic irritation due to residual carbon dioxide from the procedure. This could be a sign of a more serious issue such as a perforation or internal bleeding. Urgent evaluation is needed to rule out any complications.

A: Losing weight while using a diaphragm is not necessarily a reason for immediate clinic visit.
B: Cramping and bleeding after IUD insertion are common in the first few days and may not require immediate clinic visit unless severe or prolonged.
C: Breakthrough bleeding is a common side effect of starting oral contraceptives and usually resolves on its own.
Summary:

Choices A, B, and C do not indicate urgent or serious complications requiring immediate attention compared to choice D.

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