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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"PID is mainly caused by poor hygiene practices." This statement is not accurate.
PID is primarily caused by sexually transmitted infections (STIs) such as chlamydia and gonorrhea, not poor hygiene practices.
Providing false information to the patient can lead to misunderstandings and may not promote effective education.
Choice B rationale:
"You should use condoms consistently to prevent reinfection." This statement is the most appropriate because it provides accurate information and promotes patient understanding.
Consistent condom use can help prevent the transmission of STIs, which are a primary risk factor for PID.
Reinfection with STIs can exacerbate PID or increase the risk of recurrence, making this advice essential.
Choice C rationale:
"Douching can help alleviate the symptoms of PID." Douching is not a recommended or effective treatment for PID.
In fact, douching can potentially worsen the condition by disrupting the natural balance of the vaginal microbiota.
This statement provides incorrect information and is not appropriate for patient education.
Choice D rationale:
"Chronic pelvic pain is a common symptom, but it usually goes away on its own." This statement is not accurate.
Chronic pelvic pain is a common symptom of PID, but it typically does not resolve on its own and may require medical treatment.
Providing false reassurance to the patient can lead to delayed or inadequate care.
Correct Answer is A
Explanation
Choice A rationale:
Treatment for Pelvic Inflammatory Disease (PID) usually involves a course of antibiotics.
PID is primarily caused by bacterial infections, most commonly chlamydia and gonorrhea, which ascend from the cervix into the upper reproductive organs, leading to inflammation.
Antibiotics, such as doxycycline and ceftriaxone, are the mainstay of therapy to target and eliminate the underlying infection.
This choice is correct because it aligns with evidence-based treatment guidelines for PID.
Choice B rationale:
"Surgery is the primary treatment for PID." This statement is incorrect.
Surgery is not the primary treatment for PID.
While surgery may be necessary in severe cases of PID with abscess formation or other complications, it is not the first-line treatment.
Antibiotic therapy is the initial and most common approach to manage PID.
Choice C rationale:
"There is no effective treatment for PID." This statement is incorrect and misleading.
PID is a treatable condition, and there are effective treatment options available, as mentioned in choice A.
Failing to provide accurate information about treatment options could lead to unnecessary anxiety and fear in the patient.
Choice D rationale:
"PID is treated with hormonal therapy." This statement is incorrect.
Hormonal therapy is not the primary treatment for PID.
While hormonal contraception may be considered as part of PID management to prevent unintended pregnancies, it does not treat the underlying infection or inflammation associated with PID.
Antibiotics are the cornerstone of PID treatment.
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