A client with Pelvic Inflammatory Disease (PID) complains of severe abdominal pain.
Which nursing intervention is most appropriate for managing the client's pain?
"I'll get you some over-the-counter pain relievers.”
"Let's apply a cold pack to your lower abdomen.”
"I'll administer the prescribed analgesics as ordered.”
"You should try some deep breathing exercises to relieve the pain.”
The Correct Answer is C
Choice A rationale:
"I'll get you some over-the-counter pain relievers." Over-the-counter pain relievers may not be sufficient to manage severe abdominal pain associated with PID.
Prescription analgesics are often required for adequate pain control, making this option less appropriate.
Choice B rationale:
"Let's apply a cold pack to your lower abdomen." Applying a cold pack may provide some relief for mild discomfort but is not suitable for managing severe abdominal pain associated with PID.
It is essential to address the pain adequately with medication rather than relying solely on non-pharmacological interventions.
Choice C rationale:
"I'll administer the prescribed analgesics as ordered." This is the most appropriate nursing intervention for managing severe abdominal pain in a client with PID.
Administering prescribed analgesics as ordered by the healthcare provider ensures effective pain relief and is in line with the standard of care for managing PID-related pain.
Choice D rationale:
"You should try some deep breathing exercises to relieve the pain." Deep breathing exercises can be helpful for relaxation and pain management in some situations, but they may not be sufficient for managing severe abdominal pain associated with PID.
Pharmacological interventions are typically necessary to provide adequate pain relief.
Therefore, this option is less appropriate for managing the client's pain in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"I've been having pain in my joints lately." This statement does not support the clinical presentation of PID.
Joint pain is not a common symptom of PID.
Fever and chills are more indicative of an infectious process, which is often seen in PID.
Choice B rationale:
"I've had a persistent cough for the past week." This statement does not support the clinical presentation of PID.
A persistent cough is more likely related to a respiratory condition rather than PID.
Choice C rationale:
"I've been feeling very thirsty all the time." This statement supports the clinical presentation of PID.
Increased thirst may be a sign of dehydration, which can occur due to fever and chills associated with PID.
Fever can lead to increased fluid loss through sweating, which can result in dehydration and increased thirst.
Choice D rationale:
"I've been sweating a lot during the night." This statement does not strongly support the clinical presentation of PID.
Night sweats can have various causes, including infections, but they are not specific to PID.
The combination of fever, chills, and increased thirst is more indicative of an infectious process like PID.
Correct Answer is B
Explanation
Choice A rationale:
Assessing vital signs, including temperature.
Assessing vital signs, including temperature, is an essential component of the nursing assessment, but collecting vaginal and cervical swabs for STI testing primarily supports obtaining a detailed medical history.
The swabs are collected to identify the presence of sexually transmitted infections, which would be a crucial aspect of the patient's medical history.
Choice B rationale:
Obtaining a detailed medical history.
Collecting vaginal and cervical swabs for STI testing is a part of obtaining a detailed medical history.
It helps in understanding the patient's sexual history, potential risk factors for STIs, and symptoms that might suggest the presence of Pelvic Inflammatory Disease (PID).
This information is vital for diagnosis and treatment planning.
Choice C rationale:
Evaluating the patient's response to antibiotic therapy.
Evaluating the patient's response to antibiotic therapy is important in the management of PID but is not the primary purpose of collecting vaginal and cervical swabs.
The swabs are primarily used for diagnostic purposes to confirm the presence of STIs that may have contributed to PID.
Choice D rationale:
Performing a physical examination of the abdomen and pelvis.
Performing a physical examination of the abdomen and pelvis is a crucial part of the nursing assessment for a patient with suspected PID.
However, collecting vaginal and cervical swabs primarily supports obtaining a detailed medical history, which is essential for diagnosing and managing PID.
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