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 ["A","B","E","F"]
Explanation
A. Fundal tone assessment helps detect uterine atony.
B. Lochia assessment monitors postpartum bleeding.
C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.
D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.
E. Vital signs are crucial to monitor for hemorrhage or shock.
F. Bladder distension can affect uterine contraction and bleeding.
Correct Answer is B
Explanation
A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.
B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.
C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.
D. Pain level and birth plan are important but secondary to assessing labor progress.
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