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. "Newborns do not expand their lungs fully with each respiration.": While newborns may have shallow breathing due to immature respiratory muscles, lung expansion does not directly affect the accuracy of respiratory rate measurement.
B. "The rate and rhythm of breath are irregular in newborns.": Newborns commonly exhibit periodic breathing, where the rate and rhythm fluctuate with brief pauses. Counting for a full minute ensures an accurate average respiratory rate and helps detect any abnormal patterns such as apnea.
C. "Newborns are abdominal breathers.": Although newborns primarily use the diaphragm for breathing, resulting in visible abdominal movement, this characteristic does not affect the need to count respirations for a full minute.
D. "Activity will increase the respiratory rate.": While true that crying or movement increases respiration, the nurse counts the rate during quiet rest. The irregular rhythm not activity level is the key reason for measuring over a complete minute.
Correct Answer is B
Explanation
A. Rectus femoris: Although accessible, the rectus femoris is not the preferred injection site in infants because it is close to major nerves and blood vessels, and injections here can cause discomfort and inconsistent absorption of medication.
B. Vastus lateralis: This is the safest and most recommended intramuscular injection site for infants under 12 months. It is a large, well-developed muscle located on the anterolateral thigh and free from major nerves or blood vessels, ensuring effective medication absorption and minimal risk of injury.
C. Dorsogluteal muscle: This site should not be used in infants due to the risk of sciatic nerve injury and underdeveloped gluteal muscles, which make proper absorption unreliable. It becomes safer only in older children and adults.
D. Deltoid: The deltoid muscle is too small in infants to safely accommodate an intramuscular injection and has limited muscle mass, increasing the risk of nerve damage. It is typically reserved for children over 18 months, particularly for small-volume vaccines.
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