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

Explanation

Choice A rationale:
Varicose veins with ulcerations and lower extremity edema indicate poor blood flow, hence impaired tissue perfusion is the priority.
Choice B rationale:
While activity tolerance might be affected, it’s not the immediate concern.
Choice C rationale:
Impaired skin integrity is a concern due to ulcerations, but it’s secondary to impaired perfusion.
Choice D rationale:
Body image might be affected, but it’s not a physiological priority.

A. Insulin glargine. B. Insulin detemir. C. Regular insulin. D. NPH insulin.

Correct Answer is C

Explanation

Choice A rationale:
Insulin glargine is a long-acting insulin and is not used for the immediate treatment of diabetic ketoacidosis (DKA).
Choice B rationale:
Insulin detemir is also a long-acting insulin and is not used for the immediate treatment of DKA.
Choice C rationale:
Regular insulin is a short-acting insulin and is used for the immediate treatment of DKA.
Choice D rationale:
NPH insulin is an intermediate-acting insulin and is not used for the immediate treatment of DKA.

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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

Correct Answer is A

Explanation

Correct Answer is C

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?