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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ignoring the mood swings is not an appropriate response because it may be a sign of postpartum mood changes that need to be monitored.
B. Mood swings in the postpartum period are common and often due to hormonal changes. This is normal unless it persists beyond two weeks, at which point it may indicate postpartum depression.
C. Suggesting antidepressants immediately is premature; mood swings are common in the postpartum period, and treatment is not necessary unless they persist or worsen.
D. Advising the husband to leave the wife unattended is unsafe and inappropriate. Ensuring the wife has support during this time is important.
Correct Answer is B
Explanation
A. Rhogam is usually given at 28 weeks of pregnancy, not 4 days after delivery.
B. Rh-negative mothers who have had an Rh-positive baby are typically given Rhogam at 28 weeks gestation to prevent Rh sensitization. Rhogam is also given after delivery if the baby is Rh-positive.
C. Rhogam is necessary for Rh-negative women who have had an Rh-positive baby, as it helps prevent Rh sensitization in subsequent pregnancies.
D. Only the baby is at risk for Rh incompatibility, not the partner.
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