A client who has been diagnosed with PID asks the nurse about treatment options.
Which response by the nurse is correct?
"Treatment for PID typically involves a course of antibiotics.”
"Surgery is the primary treatment for PID.”
"There is no effective treatment for PID.”
"PID is treated with hormonal therapy.”
The Correct Answer is A
Choice A rationale:
Treatment for Pelvic Inflammatory Disease (PID) usually involves a course of antibiotics.
PID is primarily caused by bacterial infections, most commonly chlamydia and gonorrhea, which ascend from the cervix into the upper reproductive organs, leading to inflammation.
Antibiotics, such as doxycycline and ceftriaxone, are the mainstay of therapy to target and eliminate the underlying infection.
This choice is correct because it aligns with evidence-based treatment guidelines for PID.
Choice B rationale:
"Surgery is the primary treatment for PID." This statement is incorrect.
Surgery is not the primary treatment for PID.
While surgery may be necessary in severe cases of PID with abscess formation or other complications, it is not the first-line treatment.
Antibiotic therapy is the initial and most common approach to manage PID.
Choice C rationale:
"There is no effective treatment for PID." This statement is incorrect and misleading.
PID is a treatable condition, and there are effective treatment options available, as mentioned in choice A.
Failing to provide accurate information about treatment options could lead to unnecessary anxiety and fear in the patient.
Choice D rationale:
"PID is treated with hormonal therapy." This statement is incorrect.
Hormonal therapy is not the primary treatment for PID.
While hormonal contraception may be considered as part of PID management to prevent unintended pregnancies, it does not treat the underlying infection or inflammation associated with PID.
Antibiotics are the cornerstone of PID treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
This statement is accurate.
The main cause of PID is bacterial spread from the vagina and cervix to the upper genital tract.
This bacterial infection can lead to inflammation and damage in the reproductive organs.
Choice B rationale:
This statement is incorrect.
PID is not primarily caused by hormonal imbalances in the reproductive organs.
While hormonal imbalances can contribute to various gynecological issues, they are not the primary cause of PID.
Choice C rationale:
This statement is also incorrect.
PID is not mainly caused by a lack of cervical mucus production.
It is primarily an infectious condition resulting from the ascent of bacteria into the upper reproductive organs.
Choice D rationale:
This statement is inaccurate.
PID is not primarily caused by the presence of fibroids in the uterus.
Fibroids are benign growths in the uterine muscle and are not a direct cause of PID.
PID is primarily an infectious condition.
Correct Answer is A
Explanation
Choice A rationale:
"I've been experiencing irregular menstrual bleeding." This statement is consistent with the clinical presentation of PID.
PID can cause inflammation and scarring in the reproductive organs, leading to irregular menstrual bleeding as one of its symptoms.
This information is relevant to the assessment of PID.
Choice B rationale:
"I have a history of hypertension." Hypertension (high blood pressure) is not directly related to the clinical presentation of PID.
While it's important to gather a patient's medical history, this statement does not align with the typical symptoms of PID.
Choice C rationale:
"I often have headaches and fatigue." Headaches and fatigue are non-specific symptoms and are not characteristic of PID.
These symptoms could be caused by various underlying conditions but are not indicative of PID.
Choice D rationale:
"I've been having trouble sleeping lately." Trouble sleeping is a non-specific symptom and is not consistent with the clinical presentation of PID.
PID is primarily associated with gynecological symptoms such as lower abdominal pain, abnormal vaginal discharge, and painful intercourse.
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