During the nursing assessment of a patient with suspected Pelvic Inflammatory Disease (PID), the nurse observes the patient experiencing fever and chills.
Which statement by the patient supports the clinical presentation of PID?
"I've been having pain in my joints lately.”
"I've had a persistent cough for the past week.”
"I've been feeling very thirsty all the time.”
"I've been sweating a lot during the night.”
The Correct Answer is C
Choice A rationale:
"I've been having pain in my joints lately." This statement does not support the clinical presentation of PID.
Joint pain is not a common symptom of PID.
Fever and chills are more indicative of an infectious process, which is often seen in PID.
Choice B rationale:
"I've had a persistent cough for the past week." This statement does not support the clinical presentation of PID.
A persistent cough is more likely related to a respiratory condition rather than PID.
Choice C rationale:
"I've been feeling very thirsty all the time." This statement supports the clinical presentation of PID.
Increased thirst may be a sign of dehydration, which can occur due to fever and chills associated with PID.
Fever can lead to increased fluid loss through sweating, which can result in dehydration and increased thirst.
Choice D rationale:
"I've been sweating a lot during the night." This statement does not strongly support the clinical presentation of PID.
Night sweats can have various causes, including infections, but they are not specific to PID.
The combination of fever, chills, and increased thirst is more indicative of an infectious process like PID.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"I've been having pain in my joints lately." This statement does not support the clinical presentation of PID.
Joint pain is not a common symptom of PID.
Fever and chills are more indicative of an infectious process, which is often seen in PID.
Choice B rationale:
"I've had a persistent cough for the past week." This statement does not support the clinical presentation of PID.
A persistent cough is more likely related to a respiratory condition rather than PID.
Choice C rationale:
"I've been feeling very thirsty all the time." This statement supports the clinical presentation of PID.
Increased thirst may be a sign of dehydration, which can occur due to fever and chills associated with PID.
Fever can lead to increased fluid loss through sweating, which can result in dehydration and increased thirst.
Choice D rationale:
"I've been sweating a lot during the night." This statement does not strongly support the clinical presentation of PID.
Night sweats can have various causes, including infections, but they are not specific to PID.
The combination of fever, chills, and increased thirst is more indicative of an infectious process like PID.
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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