A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).
The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.
Which statement by the patient is consistent with the clinical presentation of PID?

"I've been experiencing irregular menstrual bleeding.”

"I have a history of hypertension.”

"I often have headaches and fatigue.”

"I've been having trouble sleeping lately.”

Answer and Explanation

The Correct Answer is A

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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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.

A. The patient's hair color. B. The patient's favorite hobbies. C. The patient's sexual history and recent partners. D. The patient's dietary preferences.

Correct Answer is C

Explanation

Choice A rationale:

"The patient's hair color." Hair color is not relevant to the assessment of Pelvic Inflammatory Disease (PID).

PID is a gynecological condition primarily related to the reproductive organs and is not influenced by hair color.

Focusing on hair color during the assessment is not a priority.

Choice B rationale:

"The patient's favorite hobbies." A patient's favorite hobbies are also not relevant to the assessment of PID.

PID assessment should prioritize information related to the patient's reproductive health, sexual history, and symptoms that may indicate PID.

Choice C rationale:

"The patient's sexual history and recent partners." This is the correct answer.

Assessing the patient's sexual history and recent sexual partners is crucial in the evaluation of PID.

PID is often caused by sexually transmitted infections (STIs) like chlamydia and gonorrhea.

Knowing the patient's sexual activity and partners helps identify potential sources of infection and guide appropriate treatment and partner notification.

Choice D rationale:

"The patient's dietary preferences." Dietary preferences are not directly related to PID assessment.

While a patient's overall health and nutrition are important, they are not the primary focus when assessing a patient suspected of having PID.

Prioritizing dietary preferences over sexual history and related symptoms could delay diagnosis and treatment.

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A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.Which statement by the patient is consistent with the clinical presentation of PID?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been diagnosed with PID asks the nurse about treatment options.Which response by the nurse is correct?

Correct Answer is A

Explanation

A nurse is conducting a nursing assessment for a patient with PID.Which assessment findings should the nurse prioritize during the initial assessment? .

Correct Answer is C

Explanation

A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.Which statement by the patient is consistent with the clinical presentation of PID?

A nurse is providing education to a group of young women about Pelvic Inflammatory Disease (PID).Which statement by one of the attendees indicates a need for further teaching?

Select all the nursing interventions that are appropriate for a patient diagnosed with Pelvic Inflammatory Disease (PID).

(Select all that apply):A nurse is assessing a patient with suspected PID.Which clinical manifestations are commonly associated with PID? Select all that apply.

A nurse is providing education to a patient diagnosed with Pelvic Inflammatory Disease (PID).Which statement by the nurse is the most appropriate in promoting patient understanding of the condition?

A nurse is collecting vaginal and cervical swabs from a patient with suspected Pelvic Inflammatory Disease (PID) for STI testing.Which aspect of the nursing assessment does this action primarily support?

A client with PID asks the nurse about the main cause of the condition.How should the nurse respond?

During the nursing assessment of a patient with suspected Pelvic Inflammatory Disease (PID), the nurse observes the patient experiencing fever and chills.Which statement by the patient supports the clinical presentation of PID?

A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).
The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.
Which statement by the patient is consistent with the clinical presentation of PID?