A nurse is developing a care plan for a patient with a medical diagnosis of endometriosis. Based upon her predicted symptoms, what is the priority nursing diagnosis?
Infection: At risk for.
Alteration in comfort dysmenorrhea
Incontinence: Functional urinary.
Constipation: At risk for
The Correct Answer is B
A. Infection is not the primary concern with endometriosis unless there is a secondary complication.
B. Dysmenorrhea (painful menstruation) is one of the most common and debilitating symptoms of endometriosis. Addressing pain management and comfort is a priority in the care of these patients.
C. Urinary incontinence is not a typical symptom of endometriosis, so this is not a priority diagnosis.
D. Constipation can be a concern but is secondary to addressing pain related to endometriosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B"}
Explanation
Given the client's symptoms of severe lower abdominal pain on the left side, the nurse should be concerned about a potential ectopic pregnancy, where the fertilized egg implants outside the uterus, commonly in the fallopian tube. This is a medical emergency, as it can lead to life-threatening complications if the tube ruptures.
Correct Answer is B
Explanation
A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.
B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.
C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.
D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.
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