A nurse is assessing a patient with Pelvic Inflammatory Disease (PID).
Which clinical manifestations should the nurse expect to find during the assessment?
Chest pain and shortness of breath.
Elevated blood pressure and confusion.
Lower abdominal pain, abnormal discharge, and fever.
Joint pain and muscle weakness.
The Correct Answer is C
Choice A rationale:
Chest pain and shortness of breath are not typical clinical manifestations of PID.
These symptoms are more indicative of cardiovascular or respiratory conditions.
PID primarily involves the reproductive organs and pelvic area.
Choice B rationale:
Elevated blood pressure and confusion are not typical symptoms of PID.
These symptoms may suggest other medical issues such as hypertension or neurological problems.
PID primarily presents with gynecological symptoms.
Choice C rationale:
Lower abdominal pain, abnormal discharge, and fever are common clinical manifestations of PID.
Lower abdominal pain is often described as pelvic pain, and it is a hallmark symptom.
Abnormal vaginal discharge and fever are also frequently observed in patients with PID due to the infection and inflammation of the pelvic organs.
Choice D rationale:
Joint pain and muscle weakness are not typical symptoms of PID.
These symptoms may be associated with other medical conditions such as autoimmune disorders or musculoskeletal problems.
They are not directly related to PID.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This statement is correct.
PID can indeed lead to infertility if left untreated.
PID can cause scarring and damage to the fallopian tubes, which can result in infertility.
Choice B rationale:
This statement is also correct.
Having multiple sexual partners is a risk factor for PID.
It increases the likelihood of exposure to different bacterial infections that can lead to PID.
Choice C rationale:
This statement is correct as well.
Using protection during sex, such as condoms, can prevent PID to some extent by reducing the risk of sexually transmitted infections (STIs), which are a common cause of PID.
Choice D rationale:
This statement is the one that indicates a need for further teaching.
PID is not mainly caused by urinary tract infections.
It is primarily caused by the ascending spread of bacteria from the lower genital tract to the upper reproductive organs, such as the uterus, fallopian tubes, and ovaries.
Urinary tract infections and PID are distinct conditions with different causes and manifestations.
Correct Answer is A
Explanation
Choice A rationale:
"I've been experiencing irregular menstrual bleeding." This statement is consistent with the clinical presentation of PID.
PID can cause inflammation and scarring in the reproductive organs, leading to irregular menstrual bleeding as one of its symptoms.
This information is relevant to the assessment of PID.
Choice B rationale:
"I have a history of hypertension." Hypertension (high blood pressure) is not directly related to the clinical presentation of PID.
While it's important to gather a patient's medical history, this statement does not align with the typical symptoms of PID.
Choice C rationale:
"I often have headaches and fatigue." Headaches and fatigue are non-specific symptoms and are not characteristic of PID.
These symptoms could be caused by various underlying conditions but are not indicative of PID.
Choice D rationale:
"I've been having trouble sleeping lately." Trouble sleeping is a non-specific symptom and is not consistent with the clinical presentation of PID.
PID is primarily associated with gynecological symptoms such as lower abdominal pain, abnormal vaginal discharge, and painful intercourse.
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