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?
Assessing vital signs, including temperature.
Obtaining a detailed medical history.
Evaluating the patient's response to antibiotic therapy.
Performing a physical examination of the abdomen and pelvis.
The Correct Answer is B
Choice A rationale:
Assessing vital signs, including temperature.
Assessing vital signs, including temperature, is an essential component of the nursing assessment, but collecting vaginal and cervical swabs for STI testing primarily supports obtaining a detailed medical history.
The swabs are collected to identify the presence of sexually transmitted infections, which would be a crucial aspect of the patient's medical history.
Choice B rationale:
Obtaining a detailed medical history.
Collecting vaginal and cervical swabs for STI testing is a part of obtaining a detailed medical history.
It helps in understanding the patient's sexual history, potential risk factors for STIs, and symptoms that might suggest the presence of Pelvic Inflammatory Disease (PID).
This information is vital for diagnosis and treatment planning.
Choice C rationale:
Evaluating the patient's response to antibiotic therapy.
Evaluating the patient's response to antibiotic therapy is important in the management of PID but is not the primary purpose of collecting vaginal and cervical swabs.
The swabs are primarily used for diagnostic purposes to confirm the presence of STIs that may have contributed to PID.
Choice D rationale:
Performing a physical examination of the abdomen and pelvis.
Performing a physical examination of the abdomen and pelvis is a crucial part of the nursing assessment for a patient with suspected PID.
However, collecting vaginal and cervical swabs primarily supports obtaining a detailed medical history, which is essential for diagnosing and managing PID.
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Naxlex Comprehensive Predictor Exams
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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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