. Which two criteria are signs that hospitalization may be required for a patient with suspected pelvic inflammatory disease (PID)? Choose 2 answers.
Surgical emergencies cannot be excluded.
The patient uses no contraceptives.
The patient has a history of miscarriage.
The diagnosis is uncertain.
There is a history of Sexual Transmitted Infections (STIs).
C-reactive protein levels are low.
Correct Answer : A,D
A. Surgical emergencies cannot be excluded:
If there is a possibility of a surgical emergency (such as a ruptured ectopic pregnancy or an abscess), hospitalization is necessary for observation and treatment.
B. The patient uses no contraceptives:
While contraception use may affect the risk of PID, it doesn't directly determine whether hospitalization is needed.
C. The patient has a history of miscarriage:
A history of miscarriage is not a specific indication for hospitalization in PID cases.
D. The diagnosis is uncertain:
If PID is suspected but the diagnosis is uncertain, hospitalization may be required for further diagnostic workup and close monitoring.
E. There is a history of STIs:
A history of STIs increases the risk of PID but doesn't necessarily require hospitalization.
F. C-reactive protein levels are low:
C-reactive protein (CRP) is an inflammatory marker, but low levels do not indicate that hospitalization is not needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Headache and tremors:
Respiratory acidosis leads to CO₂ retention, causing cerebral vasodilation, resulting in headache and neuromuscular irritability like tremors.
B. Trousseau's and Chvostek's signs:
These are signs of hypocalcemia, commonly seen in respiratory alkalosis, not acidosis.
C. Crackles and rhonchi upon auscultation:
These are lung sounds that might be present in respiratory conditions (like pneumonia or CHF) but are not specific symptoms of acid-base disturbances like respiratory acidosis.
D. Hyperactivity and reduced serum ionized calcium levels:
These findings are consistent with respiratory alkalosis, not acidosis.
Correct Answer is A
Explanation
A. Isotonic: An isotonic solution has the same solute concentration as blood plasma; thus, 0.9% NaCl does not cause cells to shrink or swell.
B. Exotonic: "Exotonic" is not a recognized term in fluid balance or physiology.
C. Hypotonic: A hypotonic solution (like 0.45% NaCl) has a lower solute concentration than blood, causing water to move into cells, possibly leading to swelling.
D. Hypertonic: A hypertonic solution (like 3% NaCl) has a higher solute concentration than blood, causing water to leave cells and leading to cell shrinkage.
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