(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 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.
Correct Answer is C
Explanation
Choice A rationale:
"Cranial nerves and facial muscles." Assessing cranial nerves and facial muscles is not relevant to the evaluation of a client with suspected PID.
These assessments are more appropriate for neurological or facial conditions.
Choice B rationale:
"Extremities for edema and circulation." Assessing extremities for edema and circulation is not directly related to the evaluation of PID.
It is more relevant to cardiovascular or vascular assessments.
Choice C rationale:
"Lower abdomen and pelvic region for tenderness." This is the correct area to assess during the abdominal and pelvic examination of a client with suspected PID.
PID often presents with lower abdominal and pelvic tenderness, and this assessment can help confirm the diagnosis.
Choice D rationale:
"Chest and lung sounds for respiratory status." Assessing chest and lung sounds is not directly relevant to the evaluation of PID.
This assessment is more appropriate for respiratory conditions or pulmonary issues.
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