A client with suspected Pelvic Inflammatory Disease (PID) is undergoing a physical examination as part of the nursing assessment.
Which area should the nurse specifically assess during the abdominal and pelvic examination?

Cranial nerves and facial muscles.

Extremities for edema and circulation.

Lower abdomen and pelvic region for tenderness.

Chest and lung sounds for respiratory status.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"Cranial nerves and facial muscles." Assessing cranial nerves and facial muscles is not relevant to the evaluation of a client with suspected PID.

These assessments are more appropriate for neurological or facial conditions.

Choice B rationale:

"Extremities for edema and circulation." Assessing extremities for edema and circulation is not directly related to the evaluation of PID.

It is more relevant to cardiovascular or vascular assessments.

Choice C rationale:

"Lower abdomen and pelvic region for tenderness." This is the correct area to assess during the abdominal and pelvic examination of a client with suspected PID.

PID often presents with lower abdominal and pelvic tenderness, and this assessment can help confirm the diagnosis.

Choice D rationale:

"Chest and lung sounds for respiratory status." Assessing chest and lung sounds is not directly relevant to the evaluation of PID.

This assessment is more appropriate for respiratory conditions or pulmonary issues.

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Correct Answer is D

Explanation

Choice A rationale:

This statement is correct.

PID can indeed lead to infertility if left untreated.

PID can cause scarring and damage to the fallopian tubes, which can result in infertility.

Choice B rationale:

This statement is also correct.

Having multiple sexual partners is a risk factor for PID.

It increases the likelihood of exposure to different bacterial infections that can lead to PID.

Choice C rationale:

This statement is correct as well.

Using protection during sex, such as condoms, can prevent PID to some extent by reducing the risk of sexually transmitted infections (STIs), which are a common cause of PID.

Choice D rationale:

This statement is the one that indicates a need for further teaching.

PID is not mainly caused by urinary tract infections.

It is primarily caused by the ascending spread of bacteria from the lower genital tract to the upper reproductive organs, such as the uterus, fallopian tubes, and ovaries.

Urinary tract infections and PID are distinct conditions with different causes and manifestations.

A. "Complete the full course of antibiotic therapy.” B. "Hospitalization is always necessary for PID.” C. "Sexual partners should be treated to prevent reinfection.” D. "Avoid all sexual activity during PID treatment.” E. "Pelvic rest is not required during PID treatment.”

Correct Answer is ["A","C","D"]

Explanation

PID is an infection of the female reproductive organs that can cause pelvic pain, vaginal discharge, fever, and other symptoms. It is usually caused by sexually transmitted bacteria, such as gonorrhea or chlamydia, but other bacteria can also be involved.

The correct answers to your question are a, c, and d. These are the interventions that the nurse should include in the teaching:

Complete the full course of antibiotic therapy. This is important to cure the infection and prevent complications, such as chronic pelvic pain, infertility, or ectopic pregnancy. Antibiotics can be taken by mouth or given by injection, depending on the severity of the infection and the patient’s preference.

Sexual partners should be treated to prevent reinfection. Even if the partners do not have any symptoms, they may still carry the bacteria that can cause PID. Treating them can reduce the risk of spreading the infection to others or getting it again.

Avoid all sexual activity during PID treatment. This can help the healing process and prevent further irritation or inflammation of the pelvic organs. It is also recommended to avoid using tampons, douches, or other products that can introduce bacteria into the vagina.

The incorrect answers are b and e. These are the interventions that the nurse should not include in the teaching:

Hospitalization is always necessary for PID. This is not true, as most cases of PID can be treated as outpatients with oral antibiotics. However, some patients may need to be hospitalized if they have severe symptoms, such as high fever, vomiting, or signs of an abscess (a collection of pus) in the pelvis.

Pelvic rest is not required during PID treatment. This is also not true, as pelvic rest means avoiding any activity that can increase blood flow or pressure to the pelvic area, such as exercise, lifting, or straining. Pelvic rest can help reduce pain and inflammation and promote healing.

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A client with suspected Pelvic Inflammatory Disease (PID) is undergoing a physical examination as part of the nursing assessment.Which area should the nurse specifically assess during the abdominal and pelvic examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a group of young women about Pelvic Inflammatory Disease (PID).Which statement by one of the attendees indicates a need for further teaching?

Correct Answer is D

Explanation

(Select all that apply): A nurse is providing education to a group of patients about the treatment of Pelvic Inflammatory Disease (PID). Which interventions should the nurse include in the teaching? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

A client with suspected Pelvic Inflammatory Disease (PID) is undergoing a physical examination as part of the nursing assessment.Which area should the nurse specifically assess during the abdominal and pelvic examination?

A client with PID asks the nurse about the long-term consequences of the condition. Which of the following complications should the nurse include in the response?

A client with Pelvic Inflammatory Disease (PID) complains of severe abdominal pain.Which nursing intervention is most appropriate for managing the client's pain?

A client with PID asks the nurse about the main cause of the condition.How should the nurse respond?

A client who has been diagnosed with PID asks the nurse about treatment options.Which response by the nurse is correct?

A nurse is assessing a patient with Pelvic Inflammatory Disease (PID). Which clinical manifestations should the nurse expect to find during the assessment?

A nurse is collecting vaginal and cervical swabs from a patient with suspected Pelvic Inflammatory Disease (PID) for STI testing.Which aspect of the nursing assessment does this action primarily support?

(Select all that apply):A nurse is assessing a patient with suspected PID.Which clinical manifestations are commonly associated with PID? Select all that apply.

A client with suspected Pelvic Inflammatory Disease (PID) is undergoing a physical examination as part of the nursing assessment.
Which area should the nurse specifically assess during the abdominal and pelvic examination?