A woman is upset because of issues with infertility. While talking with the nurse practitioner, she attempts to understand how endometriosis can cause infertility. Which response, by the nurse, indicates an understanding of this condition?
"Abnormal tissue outside the pelvic cavity causes inflammation and scarring of the reproductive tract."
"Scar tissue in the pelvic region, called adhesions, are causing a stricture of the urethra."
"Retrograde menstruation caused a neoplastic condition of the ovaries."
"An untreated bacterial infection of the reproductive tract is the cause of your infertility."
The Correct Answer is A
A. Endometriosis involves the growth of endometrial tissue outside the uterus, causing inflammation, scarring, and adhesions that may obstruct reproductive pathways, leading to infertility.
B. Endometriosis typically does not cause urethral strictures; adhesions affect the reproductive tract, not the urinary system.
C. While retrograde menstruation is a theory for endometriosis development, it does not directly lead to a neoplastic (cancerous) condition of the ovaries.
D. Endometriosis is not caused by an untreated bacterial infection; rather, it is a condition of abnormal endometrial tissue growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aortic atherosclerosis and mitral insufficiency could lead to some symptoms of congestion but would not fully explain jugular venous distension and liver congestion.
B. Aortic valve stenosis and left heart failure primarily affect left-sided heart function, which typically does not present with jugular venous distension or peripheral edema.
C. Bronchogenic cancer and diaphoresis do not explain the cardiovascular symptoms present in this case.
D. Pulmonic valve stenosis can lead to right heart failure, causing systemic venous congestion, which results in JVD, liver congestion, ascites, and ankle edema, thus accounting for all aspects of the patient's presentation.
Correct Answer is D
Explanation
A. Large amounts of IV fluids are generally not used in ESRD because the kidneys cannot effectively remove excess fluids, potentially worsening fluid overload.
B. Potassium supplements are avoided, as ESRD patients often have elevated potassium levels due to reduced excretion, which can lead to dangerous cardiac complications.
C. While ESRD is serious, postmortem care is premature; many patients manage ESRD with appropriate treatment.
D. Dialysis or kidney transplantation is the standard treatment for ESRD to take over the functions that the kidneys can no longer perform, such as waste removal and fluid balance.
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