(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:
"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.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Administering prescribed antibiotics is a crucial intervention for treating PID.
PID is often caused by bacterial infections, so antibiotics are necessary to target and eliminate the infection.
Early administration of antibiotics can prevent complications such as infertility and chronic pelvic pain.
Choice B rationale:
Encouraging rest and fluid intake is essential for patients with PID.
Rest helps the body recover, and fluid intake is important to maintain hydration and support the body's immune response.
Fever is a common symptom of PID, and adequate hydration is crucial to manage this symptom.
Choice C rationale:
Providing oral contraceptives to manage symptoms is not a primary intervention for PID.
While oral contraceptives may be used to regulate the menstrual cycle and reduce menstrual-related pain, they do not treat the underlying infection that causes PID.
Antibiotics are the mainstay of treatment for PID.
Choice D rationale:
Educating the patient on safe sex practices is an important nursing intervention for PID.
PID can be caused by sexually transmitted infections (STIs), and practicing safe sex can help prevent future cases of PID.
Education on condom use, regular STI testing, and partner communication is valuable in preventing the recurrence of PID.
Choice E rationale:
Performing regular pelvic exams is important for patients with PID.
Regular exams can help monitor the progress of treatment and assess for any complications or recurrence of the infection.
Pelvic exams are a crucial part of the follow-up care for patients with PID.
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