A client has been diagnosed with endometriosis. When planning this clients care, the nurse should prioritize what nursing diagnosis?
Anxiety related to risk of transmission.
Acute pain related to misplaced endometrial tissue.
Ineffective tissue perfusion related to hemorrhage.
Excess fluid volume related to abdominal distention.
The Correct Answer is B
Endometriosis is a condition in which tissue like the lining of the uterus grows outside of the uterus, causing pain and discomfort. Acute pain is a common symptom of endometriosis and can be severe enough to interfere with daily activities and quality of life. Therefore, pain management should be a priority in the care of clients with endometriosis.
While anxiety related to risk of transmission (option a) and excess fluid volume related to abdominal distention (option d) may also be concerns for some clients with endometriosis, they are generally not the most urgent priorities. Ineffective tissue perfusion related to hemorrhage (option c) may be a concern in rare cases of severe endometriosis, but it is not a common or typical complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
“An incisional biopsy is performed to confirm a diagnosis and so that special studies can be done that will help determine the best treatment”
The appropriate answer is b because an incisional biopsy is typically performed to obtain a tissue sample from a suspicious mass to confirm a diagnosis and to help determine the best treatment approach. It is not performed primarily to assess potential for recovery or to select a less painful or more accurate test, nor is it limited to a specific age group or health status. The nurse should provide accurate and relevant information to the client to help them understand the purpose and benefits of the procedure, and to alleviate any concerns or fears they may have.
Correct Answer is A
Explanation
Breast self-examination is an essential part of breast cancer detection and should be performed regularly by all women, regardless of their medical history. While the client may have undergone a left modified radical mastectomy, this does not eliminate the possibility of developing breast cancer in the right breast or other parts of the body. Therefore, it is essential to continue performing breast self-examination regularly to detect any changes that may occur in the right breast.
Option b, "Is lucky that the cancer was caught in time" and option c, "should schedule a follow- up appointment in 6 months" may also be appropriate responses depending on the client's specific situation but option a is the most universally applicable response.
Option d, "I have irregular menses" is unrelated to the topic and does not address the client's
concern or needs.
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