A client is diagnosed with uterine fibroids. When reviewing the client's health history, the nurse would identify which finding as associated with the client's condition?
amenorrhea
chronic pelvic pain
upper back pain
diarrhea
The Correct Answer is B
A. Amenorrhea: Uterine fibroids are more commonly associated with menorrhagia (heavy bleeding) or metrorrhagia (irregular bleeding) rather than amenorrhea. Fibroids cause increased uterine lining surface area and vascular congestion, leading to excessive rather than absent menstrual flow.
B. Chronic pelvic pain: Chronic pelvic pain or a feeling of pelvic pressure is a classic symptom of uterine fibroids. The enlarging fibroids can compress surrounding structures, causing discomfort, lower abdominal fullness, and sometimes radiating pain to the lower back or thighs.
C. Upper back pain: Fibroids are located in the uterus, within the pelvic cavity, and are unlikely to cause upper back pain. Pain from fibroids typically presents in the lower abdomen or pelvis due to localized pressure.
D. Diarrhea: Gastrointestinal symptoms like diarrhea are not typically associated with fibroids. If present, bowel symptoms are more likely due to large fibroids exerting pressure on the rectum, leading to constipation rather than increased bowel motility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Nails that curve inward: Inward curving, or spoon-shaped nails (koilonychia), are typically associated with iron deficiency anemia rather than hypoxemia. They reflect nutritional or hematologic issues rather than oxygen deprivation.
B. Clubbing of the nails: Clubbing, characterized by a bulbous enlargement of the fingertips and loss of the normal nail angle, indicates chronic hypoxemia. It results from prolonged low oxygen levels causing vascular and connective tissue changes in the fingers.
C. Nails that curve outward: Outward curving nails are usually a normal shape variation and do not necessarily indicate disease. They lack the bulbous appearance and softening of the nail bed seen in clubbing.
D. Dry, brittle nails: Brittle nails are commonly linked to dehydration, nutritional deficiencies, or thyroid disorders, not chronic hypoxemia. Oxygen deprivation primarily affects soft tissue rather than nail strength or moisture.
Correct Answer is D
Explanation
A. "It is normal for your bowel movements to be black.": Black stools may indicate gastrointestinal bleeding, a potential adverse effect of ibuprofen. This finding is not normal and should be reported immediately to the healthcare provider.
B. "Take the medication on an empty stomach.": Ibuprofen can irritate the gastric mucosa and increase the risk of ulcers or bleeding. It should always be taken with food or milk to minimize gastrointestinal discomfort and protect the stomach lining.
C. "Add an aspirin to the regimen if you do not get relief right away.": Combining ibuprofen with aspirin increases the risk of gastrointestinal bleeding and does not enhance pain control. Only one NSAID should be used at a time unless specifically prescribed.
D. "Start taking the medication before you first get your period.": NSAIDs like ibuprofen are most effective when started 1–2 days before menstruation or at the onset of symptoms, as they inhibit prostaglandin synthesis, reducing uterine contractions and menstrual pain.
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