A nurse is providing education to a group of young women about Pelvic Inflammatory Disease (PID).
Which statement by one of the attendees indicates a need for further teaching?
"PID can lead to infertility if left untreated.”
"Having multiple sexual partners is a risk factor for PID.”
"Using protection during sex can prevent PID.”
"PID is mainly caused by urinary tract infections.”
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
"The patient's hair color." Hair color is not relevant to the assessment of Pelvic Inflammatory Disease (PID).
PID is a gynecological condition primarily related to the reproductive organs and is not influenced by hair color.
Focusing on hair color during the assessment is not a priority.
Choice B rationale:
"The patient's favorite hobbies." A patient's favorite hobbies are also not relevant to the assessment of PID.
PID assessment should prioritize information related to the patient's reproductive health, sexual history, and symptoms that may indicate PID.
Choice C rationale:
"The patient's sexual history and recent partners." This is the correct answer.
Assessing the patient's sexual history and recent sexual partners is crucial in the evaluation of PID.
PID is often caused by sexually transmitted infections (STIs) like chlamydia and gonorrhea.
Knowing the patient's sexual activity and partners helps identify potential sources of infection and guide appropriate treatment and partner notification.
Choice D rationale:
"The patient's dietary preferences." Dietary preferences are not directly related to PID assessment.
While a patient's overall health and nutrition are important, they are not the primary focus when assessing a patient suspected of having PID.
Prioritizing dietary preferences over sexual history and related symptoms could delay diagnosis and treatment.
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