A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis.
Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?
Abdominal bloating starts several days before menses.
An atypical Papanicolaou smear at her last clinic visit.
A history of pelvic inflammatory disease (PID).
Dysmenorrhea that is unresponsive to NSAIDS.
The Correct Answer is D
Choice A rationale:
Abdominal bloating can occur in many conditions and is not specific to endometriosis.
Choice B rationale:
An atypical Papanicolaou smear is not related to endometriosis, it’s more associated with cervical abnormalities.
Choice C rationale:
A history of pelvic inflammatory disease (PID) is not a specific indicator of endometriosis.
Choice D rationale:
Dysmenorrhea (painful menstrual periods) that is unresponsive to NSAIDs is a common symptom of endometriosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Increased heart rate is a compensatory mechanism to maintain cardiac output in the presence of fluid overload.
Choice B rationale:
Increased respiratory rate may occur due to pulmonary congestion caused by fluid overload.
Choice C rationale:
Increased temperature is not typically associated with fluid overload.
Choice D rationale:
Increased hematocrit would indicate dehydration, not fluid overload.
Choice E rationale:
Increased blood pressure can occur due to increased blood volume in fluid overload.
Correct Answer is C
Explanation
Choice A rationale:
Placing the legs in a dependent position can increase venous pressure and exacerbate venous insufficiency.
Choice B rationale:
Bed rest can lead to venous stasis and worsen venous insufficiency.
Choice C rationale:
Using elastic stockings can help improve venous return and reduce symptoms of venous insufficiency.
Choice D rationale:
Applying ice packs can constrict blood vessels and reduce blood flow, which is not recommended for venous insufficiency.
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