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 B
Explanation
Choice A rationale:
"PID is mainly caused by poor hygiene practices." This statement is not accurate.
PID is primarily caused by sexually transmitted infections (STIs) such as chlamydia and gonorrhea, not poor hygiene practices.
Providing false information to the patient can lead to misunderstandings and may not promote effective education.
Choice B rationale:
"You should use condoms consistently to prevent reinfection." This statement is the most appropriate because it provides accurate information and promotes patient understanding.
Consistent condom use can help prevent the transmission of STIs, which are a primary risk factor for PID.
Reinfection with STIs can exacerbate PID or increase the risk of recurrence, making this advice essential.
Choice C rationale:
"Douching can help alleviate the symptoms of PID." Douching is not a recommended or effective treatment for PID.
In fact, douching can potentially worsen the condition by disrupting the natural balance of the vaginal microbiota.
This statement provides incorrect information and is not appropriate for patient education.
Choice D rationale:
"Chronic pelvic pain is a common symptom, but it usually goes away on its own." This statement is not accurate.
Chronic pelvic pain is a common symptom of PID, but it typically does not resolve on its own and may require medical treatment.
Providing false reassurance to the patient can lead to delayed or inadequate care.
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