A nurse is assessing a patient with Endometriosis.
What should be the primary focus of the nurse's assessment?

Choice A rationale:

Mammography is not a relevant diagnostic test for endometriosis.

Mammography is primarily used to detect breast abnormalities, particularly in breast cancer screening.

Endometriosis involves the presence of endometrial tissue outside the uterus, typically in the pelvic area, and is not related to breast tissue.

Choice B rationale:

Transvaginal ultrasound is a valuable diagnostic tool for evaluating endometriosis.

This imaging technique can visualize the pelvic organs and detect the presence of endometrial tissue implants or cysts in the ovaries, which are common manifestations of endometriosis.

It allows healthcare providers to assess the extent of the disease and guide treatment decisions.

Choice C rationale:

Bone density scan (DEXA scan) is not a diagnostic test for endometriosis.

DEXA scans are used to measure bone density and assess the risk of osteoporosis or bone fractures.

While endometriosis can potentially affect bone health due to hormonal changes, a bone density scan is not used to confirm the presence of endometriosis itself.

Choice D rationale:

Electrocardiogram (ECG or EKG) is a test used to record the electrical activity of the heart and is unrelated to the diagnosis of endometriosis.

ECGs are typically used to evaluate cardiac function, detect arrhythmias, or assess the overall health of the heart.

Choice A rationale:

Heavy menstrual bleeding is commonly associated with endometriosis.

The presence of endometrial-like tissue outside the uterus can lead to increased bleeding during menstruation.

Choice B rationale:

Frequent urination is not typically associated with endometriosis.

While endometriosis can cause pelvic pain and discomfort, it does not directly lead to urinary symptoms like frequent urination.

Choice C rationale:

Severe constipation is not commonly associated with endometriosis.

Endometriosis primarily affects the pelvic area and reproductive organs, and it is not a direct cause of gastrointestinal symptoms like constipation.

Choice D rationale:

Dysmenorrhea, which refers to painful menstrual periods, is commonly associated with endometriosis.

The presence of endometrial-like tissue in the pelvis can lead to inflammation and pain during menstruation.

Choice E rationale:

Painful intercourse, known as dyspareunia, is commonly associated with endometriosis.

The presence of endometrial-like tissue in the pelvic area can lead to pain and discomfort during sexual intercourse.