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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Infertility is a significant long-term complication of PID.
PID can lead to scarring and damage to the fallopian tubes and reproductive organs, which can result in infertility.
This is a crucial point to discuss with the client as it can have a profound impact on their future reproductive plans.
Choice B rationale:
Allergic reactions are not a known complication of PID.
PID is primarily an infectious and inflammatory condition, and it does not typically result in allergic reactions.
Choice C rationale:
Migraine headaches are not a recognized long-term complication of PID.
Headaches may occur as a symptom during the acute phase of PID, but they are not considered a chronic or long-term consequence of the condition.
Choice D rationale:
Eczema outbreaks are not associated with PID.
Eczema is a skin condition that is unrelated to the reproductive organs or pelvic inflammation.
There is no established link between PID and eczema outbreaks.
Correct Answer is C
Explanation
Choice A rationale:
"Cranial nerves and facial muscles." Assessing cranial nerves and facial muscles is not relevant to the evaluation of a client with suspected PID.
These assessments are more appropriate for neurological or facial conditions.
Choice B rationale:
"Extremities for edema and circulation." Assessing extremities for edema and circulation is not directly related to the evaluation of PID.
It is more relevant to cardiovascular or vascular assessments.
Choice C rationale:
"Lower abdomen and pelvic region for tenderness." This is the correct area to assess during the abdominal and pelvic examination of a client with suspected PID.
PID often presents with lower abdominal and pelvic tenderness, and this assessment can help confirm the diagnosis.
Choice D rationale:
"Chest and lung sounds for respiratory status." Assessing chest and lung sounds is not directly relevant to the evaluation of PID.
This assessment is more appropriate for respiratory conditions or pulmonary issues.
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