A client has been diagnosed with Endometriosis, and the healthcare provider recommends further diagnostic tests to confirm the condition.
What diagnostic tests might the client expect to undergo as part of the assessment process?
Mammography.
Transvaginal ultrasound.
Bone density scan.
Electrocardiogram.
The Correct Answer is B
Choice A rationale:
Mammography is not a relevant diagnostic test for endometriosis.
Mammography is primarily used to detect breast abnormalities, particularly in breast cancer screening.
Endometriosis involves the presence of endometrial tissue outside the uterus, typically in the pelvic area, and is not related to breast tissue.
Choice B rationale:
Transvaginal ultrasound is a valuable diagnostic tool for evaluating endometriosis.
This imaging technique can visualize the pelvic organs and detect the presence of endometrial tissue implants or cysts in the ovaries, which are common manifestations of endometriosis.
It allows healthcare providers to assess the extent of the disease and guide treatment decisions.
Choice C rationale:
Bone density scan (DEXA scan) is not a diagnostic test for endometriosis.
DEXA scans are used to measure bone density and assess the risk of osteoporosis or bone fractures.
While endometriosis can potentially affect bone health due to hormonal changes, a bone density scan is not used to confirm the presence of endometriosis itself.
Choice D rationale:
Electrocardiogram (ECG or EKG) is a test used to record the electrical activity of the heart and is unrelated to the diagnosis of endometriosis.
ECGs are typically used to evaluate cardiac function, detect arrhythmias, or assess the overall health of the heart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Dysuria (painful urination) and dyschezia (painful bowel movements) are not typical symptoms of endometriosis.
While endometriosis can cause a range of symptoms, the primary symptoms include pelvic pain, dysmenorrhea (painful menstrual periods), dyspareunia (painful sexual intercourse), and infertility.
Choice B rationale:
Fatigue and cyclic gastrointestinal symptoms are not the primary or most characteristic symptoms of endometriosis.
While some individuals with endometriosis may experience fatigue and gastrointestinal symptoms, these are not the hallmark symptoms of the condition.
Choice D rationale:
Infertility can be associated with endometriosis.
Endometriosis can lead to the formation of adhesions and scar tissue in the pelvic region, which can affect fertility by blocking or damaging the fallopian tubes and disrupting normal pelvic anatomy.
It is important to address infertility concerns in patients with endometriosis and provide appropriate management options.
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
The absence of pelvic tenderness would not be a typical finding in a patient suspected of having endometriosis.
In fact, pelvic tenderness is often associated with endometriosis due to the inflammatory nature of the condition.
Therefore, the nurse would not particularly focus on this finding during the assessment.
Choice B rationale:
Mobile pelvic organs can be a significant finding in patients with endometriosis.
The presence of adhesions and endometriotic implants can lead to decreased mobility of pelvic organs, which may be palpable during a physical examination.
This finding can be indicative of endometriosis and warrants attention during the assessment.
Choice C rationale:
Palpable nodules (endometriotic nodules) are a key clinical finding that the nurse should be attentive to during the assessment of a patient suspected of having endometriosis.
These nodules, often located within the pelvic cavity, can be felt during a pelvic examination and are a characteristic feature of the condition.
Choice D rationale:
A retroverted uterus is not a specific finding associated with endometriosis.
While the nurse should perform a thorough pelvic examination, the presence of a retroverted uterus alone would not confirm or rule out endometriosis.
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