A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.

Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Abdominal bloating starts several days before menses.

An atypical Papanicolaou smear at her last clinic visit.

A history of pelvic inflammatory disease (PID).

Dysmenorrhea that is unresponsive to NSAIDS.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Abdominal bloating can occur in many conditions and is not specific to endometriosis.
Choice B rationale:
An atypical Papanicolaou smear is not related to endometriosis, it’s more associated with cervical abnormalities.
Choice C rationale:
A history of pelvic inflammatory disease (PID) is not a specific indicator of endometriosis.
Choice D rationale:
Dysmenorrhea (painful menstrual periods) that is unresponsive to NSAIDs is a common symptom of endometriosis.

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Correct Answer is ["A","B"]

Explanation

Choice A rationale:
Localized edema is a common sign of infection. The body sends extra fluid to the area as part of the inflammatory response.
Choice B rationale:
An increase in neutrophils, a type of white blood cell, is a common response to infection. Neutrophils are part of the body’s immune response and work to fight off invading bacteria.
Choice C rationale:
An increase in platelets is not typically associated with infection. Platelets are involved in blood clotting, not the immune response.
Choice D rationale:
Bradycardia, or a slow heart rate, is not typically associated with infection. Infection usually causes an increased heart rate, not a decreased one.
Choice E rationale:
An increase in RBCs is not typically associated with infection. RBCs carry oxygen around the body, but their number does not usually change in response to infection.

A. Apneustic respirations. B. Stridor. C. Kussmaul respirations. D. Cheyne-Stokes respirations.

Correct Answer is D

Explanation

Choice A rationale:
Apneustic respirations are characterized by prolonged inspiratory phase with shortened expiratory phase, not alternating periods of hyperventilation and apnea.
Choice B rationale:
Stridor is a high-pitched, wheezing sound caused by disrupted airflow, not a pattern of breathing.
Choice C rationale:
Kussmaul respirations are deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis, not alternating periods of hyperventilation and apnea.
Choice D rationale:
Cheyne-Stokes respirations are characterized by alternating periods of hyperventilation and apnea.

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A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.

Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?