A client with suspected Pelvic Inflammatory Disease (PID) is undergoing a physical examination as part of the nursing assessment.
Which area should the nurse specifically assess during the abdominal and pelvic examination?
Cranial nerves and facial muscles.
Extremities for edema and circulation.
Lower abdomen and pelvic region for tenderness.
Chest and lung sounds for respiratory status.
The Correct Answer is C
Choice A rationale:
"Cranial nerves and facial muscles." Assessing cranial nerves and facial muscles is not relevant to the evaluation of a client with suspected PID.
These assessments are more appropriate for neurological or facial conditions.
Choice B rationale:
"Extremities for edema and circulation." Assessing extremities for edema and circulation is not directly related to the evaluation of PID.
It is more relevant to cardiovascular or vascular assessments.
Choice C rationale:
"Lower abdomen and pelvic region for tenderness." This is the correct area to assess during the abdominal and pelvic examination of a client with suspected PID.
PID often presents with lower abdominal and pelvic tenderness, and this assessment can help confirm the diagnosis.
Choice D rationale:
"Chest and lung sounds for respiratory status." Assessing chest and lung sounds is not directly relevant to the evaluation of PID.
This assessment is more appropriate for respiratory conditions or pulmonary issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Cranial nerves and facial muscles." Assessing cranial nerves and facial muscles is not relevant to the evaluation of a client with suspected PID.
These assessments are more appropriate for neurological or facial conditions.
Choice B rationale:
"Extremities for edema and circulation." Assessing extremities for edema and circulation is not directly related to the evaluation of PID.
It is more relevant to cardiovascular or vascular assessments.
Choice C rationale:
"Lower abdomen and pelvic region for tenderness." This is the correct area to assess during the abdominal and pelvic examination of a client with suspected PID.
PID often presents with lower abdominal and pelvic tenderness, and this assessment can help confirm the diagnosis.
Choice D rationale:
"Chest and lung sounds for respiratory status." Assessing chest and lung sounds is not directly relevant to the evaluation of PID.
This assessment is more appropriate for respiratory conditions or pulmonary issues.
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.
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