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 B
Explanation
Choice A rationale:
Bradycardia is not a typical symptom of diabetes insipidus.
Choice B rationale:
Dehydration is a common symptom of diabetes insipidus due to excessive urination.
Choice C rationale:
Hyperglycemia is not a symptom of diabetes insipidus, but rather diabetes mellitus.
Choice D rationale:
Polyphagia (excessive hunger) is not a symptom of diabetes insipidus.
Correct Answer is A
Explanation
Choice A rationale:
Completing a neurological check is the correct action. The client’s sudden confusion and drowsiness could indicate a neurological issue, such as a stroke.
Choice B rationale:
Increasing the client’s fluid intake is not the first action to take. While dehydration can cause confusion, other causes need to be ruled out first.
Choice C rationale:
Administering the prescribed PRN antihypertensive medication is not the first action to take. The client’s blood pressure is not elevated, so this medication is not needed at this time.
Choice D rationale:
Holding the client’s evening dose of digoxin is not the first action to take. The client’s symptoms are not necessarily related to this medication.
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