What symptom would a nurse anticipate in a patient with endometriosis?

Hot flashes

Dyspareunia

Fluid retention

Fever

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hot flashes are typically associated with menopause, not endometriosis. They occur due to changes in hormone levels, particularly a decrease in estrogen.
Choice B rationale
Dyspareunia, or painful intercourse, is a common symptom of endometriosis. The condition can cause adhesions and lesions in and around the pelvic organs, leading to pain during sexual activity.
Choice C rationale
Fluid retention is not specifically associated with endometriosis. It can occur due to a variety of conditions, including hormonal changes, dietary factors, and certain medications.
Choice D rationale
Fever is not a typical symptom of endometriosis. It’s more commonly associated with infections or inflammatory conditions.

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Correct Answer is B

Explanation

Choice A rationale
Pergonal (Menotropins) does not extend the luteal phase. The luteal phase is a part of the menstrual cycle, and Pergonal does not have a direct effect on this phase.
Choice B rationale
Pergonal (Menotropins) is used to induce ovulation in women as part of an infertility treatment before in vitro fertilization. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate the ovaries to produce eggs.
Choice C rationale
Pergonal (Menotropins) does not inhibit menstruation. It is used to stimulate the ovaries to produce eggs, not to stop the menstrual cycle.
Choice D rationale
Pergonal (Menotropins) does not enhance cervical mucus production. Its primary function is to stimulate the ovaries to produce eggs.

A. Negative pregnancy test B. Prothrombin time of 40 seconds C. Hemoglobin level of 10.1 g/dl D. Serum cholesterol of 140 mg/dl

Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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What symptom would a nurse anticipate in a patient with endometriosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is scheduled to receive Pergonal (Menotropins) injections as part of an infertility treatment before in vitro fertilization. What is the anticipated effect of this medication?

Correct Answer is B

Explanation

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

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