The nurse is caring for four clients in a women's health clinic. Which client should the nurse assess for risk for pelvic inflammatory disease (PID)?
A 50-year-old in perimenopause.
A 30-year-old with endometriosis.
A 40-year-old with leiomyoma.
A 20-year-old with gonorrhea.
The Correct Answer is D
Choice A reason: Perimenopausal women have lower estrogen levels and reduced cervical mucus, which may offer some protection against ascending infections. While not immune to PID, they are generally at lower risk compared to younger sexually active women with STIs.
Choice B reason: Endometriosis involves ectopic endometrial tissue and chronic pelvic pain, but it is not an infectious condition. It does not inherently increase the risk of PID unless complicated by surgical interventions or coexisting infections.
Choice C reason: Leiomyomas (fibroids) are benign uterine tumors that do not predispose to PID. They may cause heavy bleeding or pelvic pressure but are not associated with ascending infections unless complicated by instrumentation or necrosis.
Choice D reason: Gonorrhea is a sexually transmitted infection that directly increases the risk of PID due to its ability to ascend through the cervix into the uterus, fallopian tubes, and ovaries. Young women with gonorrhea are at highest risk for PID, infertility, and ectopic pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Secondary prevention focuses on early detection and intervention to halt or slow the progression of a condition. Enrolling pregnant teens in cessation programs targets individuals already using tobacco and aims to prevent further harm, especially to fetal development. This aligns with secondary prevention goals.
Choice B reason: Distributing pamphlets about public smoking ordinances is a form of policy advocacy and environmental control, which falls under primary or tertiary prevention depending on context.
Choice C reason: Referring former smokers to relapse prevention programs is considered tertiary prevention, as it targets individuals who have already quit and aims to maintain abstinence.
Choice D reason: Providing educational curricula to school nurses is a primary prevention strategy aimed at preventing tobacco use before it begins.
Correct Answer is D
Explanation
Choice A reason: Pregnancy prevention is a critical topic in adolescent health education, but it falls under sexual health rather than injury prevention. While important, it does not directly address physical injury risks.
Choice B reason: Sports-related injuries are common among adolescents, but they typically occur in specific contexts and are less likely to result in fatal outcomes compared to motor vehicle accidents. Prevention strategies are also more specialized.
Choice C reason: Substance abuse is a major public health concern and can lead to injury indirectly, but it is more appropriately addressed under behavioral health or addiction education. It does not focus on immediate physical injury prevention.
Choice D reason: Seat belt safety is a universally applicable and life-saving intervention. Motor vehicle accidents are a leading cause of death among adolescents, and seat belt use significantly reduces injury severity and mortality. Teaching this topic has broad relevance and immediate impact.
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