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 C
Explanation
A. The A1c test measures the average blood glucose levels over the past 2-3 months, not the liver’s ability to absorb hemoglobin.
B. The A1c test does not provide current glucose levels in the blood but reflects long-term glucose control.
C. An A1c of 46% (6.5%) is a generally accepted target for good diabetic control, reflecting long-term blood glucose levels.
D. An A1c test is typically done every 3 months for people with diabetes, not routinely between 24 to 28 weeks in all pregnant women unless they have diabetes.
Correct Answer is ["B","D","E"]
Explanation
A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.
B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.
C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.
D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.
E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.
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