A client with PID asks the nurse about the main cause of the condition.
How should the nurse respond?
"The main cause of PID is bacterial spread from the vagina and cervix to the upper genital tract.”
"PID is primarily caused by hormonal imbalances in the reproductive organs.”
"PID is mainly caused by a lack of cervical mucus production.”
"PID is primarily caused by the presence of fibroids in the uterus.”
The Correct Answer is A
Choice A rationale:
This statement is accurate.
The main cause of PID is bacterial spread from the vagina and cervix to the upper genital tract.
This bacterial infection can lead to inflammation and damage in the reproductive organs.
Choice B rationale:
This statement is incorrect.
PID is not primarily caused by hormonal imbalances in the reproductive organs.
While hormonal imbalances can contribute to various gynecological issues, they are not the primary cause of PID.
Choice C rationale:
This statement is also incorrect.
PID is not mainly caused by a lack of cervical mucus production.
It is primarily an infectious condition resulting from the ascent of bacteria into the upper reproductive organs.
Choice D rationale:
This statement is inaccurate.
PID is not primarily caused by the presence of fibroids in the uterus.
Fibroids are benign growths in the uterine muscle and are not a direct cause of PID.
PID is primarily an infectious condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"The patient's hair color." Hair color is not relevant to the assessment of Pelvic Inflammatory Disease (PID).
PID is a gynecological condition primarily related to the reproductive organs and is not influenced by hair color.
Focusing on hair color during the assessment is not a priority.
Choice B rationale:
"The patient's favorite hobbies." A patient's favorite hobbies are also not relevant to the assessment of PID.
PID assessment should prioritize information related to the patient's reproductive health, sexual history, and symptoms that may indicate PID.
Choice C rationale:
"The patient's sexual history and recent partners." This is the correct answer.
Assessing the patient's sexual history and recent sexual partners is crucial in the evaluation of PID.
PID is often caused by sexually transmitted infections (STIs) like chlamydia and gonorrhea.
Knowing the patient's sexual activity and partners helps identify potential sources of infection and guide appropriate treatment and partner notification.
Choice D rationale:
"The patient's dietary preferences." Dietary preferences are not directly related to PID assessment.
While a patient's overall health and nutrition are important, they are not the primary focus when assessing a patient suspected of having PID.
Prioritizing dietary preferences over sexual history and related symptoms could delay diagnosis and treatment.
Correct Answer is C
Explanation
Choice A rationale:
"I'll get you some over-the-counter pain relievers." Over-the-counter pain relievers may not be sufficient to manage severe abdominal pain associated with PID.
Prescription analgesics are often required for adequate pain control, making this option less appropriate.
Choice B rationale:
"Let's apply a cold pack to your lower abdomen." Applying a cold pack may provide some relief for mild discomfort but is not suitable for managing severe abdominal pain associated with PID.
It is essential to address the pain adequately with medication rather than relying solely on non-pharmacological interventions.
Choice C rationale:
"I'll administer the prescribed analgesics as ordered." This is the most appropriate nursing intervention for managing severe abdominal pain in a client with PID.
Administering prescribed analgesics as ordered by the healthcare provider ensures effective pain relief and is in line with the standard of care for managing PID-related pain.
Choice D rationale:
"You should try some deep breathing exercises to relieve the pain." Deep breathing exercises can be helpful for relaxation and pain management in some situations, but they may not be sufficient for managing severe abdominal pain associated with PID.
Pharmacological interventions are typically necessary to provide adequate pain relief.
Therefore, this option is less appropriate for managing the client's pain in this context.
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