(Select all that apply):
A nurse is assessing a patient with suspected PID.
Which clinical manifestations are commonly associated with PID? Select all that apply.
Lower abdominal pain.
Vaginal bleeding between periods.
Painful urination.
Swollen ankles.
Fever.
Correct Answer : A,B,E
Choice A rationale:
Lower abdominal pain is commonly associated with PID.
Inflammation and infection in the pelvic area can cause pain and discomfort.
Choice B rationale:
Vaginal bleeding between periods is also a common clinical manifestation of PID.
The inflammation and damage to the reproductive organs can lead to irregular bleeding.
Choice C rationale:
Painful urination is not a typical symptom of PID.
It may be indicative of other urinary tract infections or conditions but is not directly associated with PID.
Choice D rationale:
Swollen ankles are not a common manifestation of PID.
This symptom is unrelated to PID and suggests other medical issues, such as circulatory or renal problems.
Choice E rationale:
Fever is a common symptom of PID.
The infection and inflammation in the reproductive organs can lead to an elevated body temperature as the body's immune response attempts to combat the infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"I'll get you some over-the-counter pain relievers." Over-the-counter pain relievers may not be sufficient to manage severe abdominal pain associated with PID.
Prescription analgesics are often required for adequate pain control, making this option less appropriate.
Choice B rationale:
"Let's apply a cold pack to your lower abdomen." Applying a cold pack may provide some relief for mild discomfort but is not suitable for managing severe abdominal pain associated with PID.
It is essential to address the pain adequately with medication rather than relying solely on non-pharmacological interventions.
Choice C rationale:
"I'll administer the prescribed analgesics as ordered." This is the most appropriate nursing intervention for managing severe abdominal pain in a client with PID.
Administering prescribed analgesics as ordered by the healthcare provider ensures effective pain relief and is in line with the standard of care for managing PID-related pain.
Choice D rationale:
"You should try some deep breathing exercises to relieve the pain." Deep breathing exercises can be helpful for relaxation and pain management in some situations, but they may not be sufficient for managing severe abdominal pain associated with PID.
Pharmacological interventions are typically necessary to provide adequate pain relief.
Therefore, this option is less appropriate for managing the client's pain in this context.
Correct Answer is D
Explanation
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.
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