A client with PID asks the nurse about the main cause of the condition.
How should the nurse respond?
"The main cause of PID is bacterial spread from the vagina and cervix to the upper genital tract.”
"PID is primarily caused by hormonal imbalances in the reproductive organs.”
"PID is mainly caused by a lack of cervical mucus production.”
"PID is primarily caused by the presence of fibroids in the uterus.”
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Administering prescribed antibiotics is a crucial intervention for treating PID.
PID is often caused by bacterial infections, so antibiotics are necessary to target and eliminate the infection.
Early administration of antibiotics can prevent complications such as infertility and chronic pelvic pain.
Choice B rationale:
Encouraging rest and fluid intake is essential for patients with PID.
Rest helps the body recover, and fluid intake is important to maintain hydration and support the body's immune response.
Fever is a common symptom of PID, and adequate hydration is crucial to manage this symptom.
Choice C rationale:
Providing oral contraceptives to manage symptoms is not a primary intervention for PID.
While oral contraceptives may be used to regulate the menstrual cycle and reduce menstrual-related pain, they do not treat the underlying infection that causes PID.
Antibiotics are the mainstay of treatment for PID.
Choice D rationale:
Educating the patient on safe sex practices is an important nursing intervention for PID.
PID can be caused by sexually transmitted infections (STIs), and practicing safe sex can help prevent future cases of PID.
Education on condom use, regular STI testing, and partner communication is valuable in preventing the recurrence of PID.
Choice E rationale:
Performing regular pelvic exams is important for patients with PID.
Regular exams can help monitor the progress of treatment and assess for any complications or recurrence of the infection.
Pelvic exams are a crucial part of the follow-up care for patients with PID.
Correct Answer is C
Explanation
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.
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