When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

point out that inappropriate sexual behavior caused the infection.

position the woman in a semi-Fowler position.

tell her that antibiotics need to be taken until pelvic pain is relieved.

explain to the woman that infertility is a likely outcome of this type of infection.

Answer and Explanation

The Correct Answer is B

Choice A reason: Pointing out that inappropriate sexual behavior caused the infection is not helpful, as it may make the woman feel guilty, ashamed, or defensive. The nurse should avoid blaming or judging the woman and focus on providing education and support.

Choice B reason: Positioning the patient in a semi-Fowler position (head of the bed elevated 30–45 degrees) helps promote drainage of pelvic exudate and reduces the risk of abscess formation or further spread of infection. This is a key nursing intervention for patients with acute pelvic inflammatory disease (PID).

Choice C reason: Telling her that antibiotics need to be taken until pelvic pain is relieved is incorrect, as it may lead to incomplete treatment and recurrence of the infection. The nurse should instruct the woman to take the full course of antibiotics as prescribed, regardless of the symptoms.

Choice D reason: While infertility is a potential complication of PID, it is not a guaranteed outcome. The nurse should provide accurate information about risks but avoid causing unnecessary alarm. The focus should be on prompt treatment and prevention of complications.

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Correct Answer is D

Explanation

Choice A reason: A total placenta previa is when the placenta completely covers the internal os, blocking the baby's exit from the uterus.

Choice B reason: A marginal placenta previa is when the placental edge just reaches the internal os, but does not cover it. This is the most common type of placenta previa and usually resolves on its own as the pregnancy progresses.

Choice C reason: A complete placenta previa is when the placenta partially covers the internal os, reducing the space for the baby to pass through.

Choice D reason: A partial placenta previa is when the placenta partially covers the internal os, reducing the space for the baby to pass through. This is similar to a complete placenta previa, but less severe.

A. Eat five small meals daily. B. Lie down after each meal. C. Reduce the amount of fiber she consumes. D. Substitute other calcium sources for milk in her diet.

Correct Answer is A

Explanation

Choice A reason: Eating five small meals daily can help reduce heartburn in pregnancy by preventing overeating and reducing the pressure on the stomach from the growing uterus. It can also help maintain a steady blood glucose level and prevent nausea and vomiting.

Choice B reason: Lying down after each meal can worsen heartburn in pregnancy by allowing the stomach acid to reflux into the esophagus. It can also cause breathing difficulties and increase the risk of aspiration. The woman should avoid lying down for at least two hours after eating and elevate her head and chest when sleeping.

Choice C reason: Reducing the amount of fiber she consumes can cause constipation and hemorrhoids in pregnancy, which can increase the discomfort and pain. Fiber is important for maintaining a healthy digestive system and preventing gestational diabetes and preeclampsia. The woman should consume at least 25 grams of fiber per day from fruits, vegetables, whole grains, beans, and nuts.

Choice D reason: Substituting other calcium sources for milk in her diet can deprive the woman and the baby of essential nutrients, such as protein, vitamin D, and riboflavin. Milk is not a common cause of heartburn in pregnancy, unless the woman is lactose intolerant or allergic to dairy products. The woman should consume at least three servings of dairy products per day or take calcium supplements as prescribed.

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When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A placenta previa in which the placental edge just reaches the internal os is more commonly known as:

Correct Answer is D

Explanation

A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman: (Select the one most appropriate answer.

Correct Answer is A

Explanation

A pregnant woman experiencing nausea and vomiting should:

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A nurse counseling a client with endometriosis understands which statements regarding the management of endometriosis are accurate? (Select all that apply)

When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

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