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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:
Apneustic respirations are characterized by prolonged inspiratory phase with shortened expiratory phase, not alternating periods of hyperventilation and apnea.
Choice B rationale:
Stridor is a high-pitched, wheezing sound caused by disrupted airflow, not a pattern of breathing.
Choice C rationale:
Kussmaul respirations are deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis, not alternating periods of hyperventilation and apnea.
Choice D rationale:
Cheyne-Stokes respirations are characterized by alternating periods of hyperventilation and apnea.

A. Encourage brief exercise before meals to promote appetite. B. Place the client with the head reclined back to facilitate swallowing. C. Encourage the client to take small bites. D. Place food in the affected side of the mouth.

Correct Answer is C

Explanation

Choice A rationale:
Encouraging brief exercise before meals to promote appetite is not directly related to feeding safety for a client who has dysphagia following a stroke.
Choice B rationale:
Placing the client with the head reclined back to facilitate swallowing is incorrect. It’s safer for the client to sit upright during feeding to prevent aspiration.
Choice C rationale:
Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Choice D rationale:
Placing food in the affected side of the mouth is not a safe practice. It’s recommended to place food on the unaffected side of the mouth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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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?