A nurse is assessing a patient with Pelvic Inflammatory Disease (PID).
Which clinical manifestations should the nurse expect to find during the assessment?
Chest pain and shortness of breath.
Elevated blood pressure and confusion.
Lower abdominal pain, abnormal discharge, and fever.
Joint pain and muscle weakness.
The Correct Answer is C
Choice A rationale:
Chest pain and shortness of breath are not typical clinical manifestations of PID.
These symptoms are more indicative of cardiovascular or respiratory conditions.
PID primarily involves the reproductive organs and pelvic area.
Choice B rationale:
Elevated blood pressure and confusion are not typical symptoms of PID.
These symptoms may suggest other medical issues such as hypertension or neurological problems.
PID primarily presents with gynecological symptoms.
Choice C rationale:
Lower abdominal pain, abnormal discharge, and fever are common clinical manifestations of PID.
Lower abdominal pain is often described as pelvic pain, and it is a hallmark symptom.
Abnormal vaginal discharge and fever are also frequently observed in patients with PID due to the infection and inflammation of the pelvic organs.
Choice D rationale:
Joint pain and muscle weakness are not typical symptoms of PID.
These symptoms may be associated with other medical conditions such as autoimmune disorders or musculoskeletal problems.
They are not directly related to PID.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Assessing vital signs, including temperature.
Assessing vital signs, including temperature, is an essential component of the nursing assessment, but collecting vaginal and cervical swabs for STI testing primarily supports obtaining a detailed medical history.
The swabs are collected to identify the presence of sexually transmitted infections, which would be a crucial aspect of the patient's medical history.
Choice B rationale:
Obtaining a detailed medical history.
Collecting vaginal and cervical swabs for STI testing is a part of obtaining a detailed medical history.
It helps in understanding the patient's sexual history, potential risk factors for STIs, and symptoms that might suggest the presence of Pelvic Inflammatory Disease (PID).
This information is vital for diagnosis and treatment planning.
Choice C rationale:
Evaluating the patient's response to antibiotic therapy.
Evaluating the patient's response to antibiotic therapy is important in the management of PID but is not the primary purpose of collecting vaginal and cervical swabs.
The swabs are primarily used for diagnostic purposes to confirm the presence of STIs that may have contributed to PID.
Choice D rationale:
Performing a physical examination of the abdomen and pelvis.
Performing a physical examination of the abdomen and pelvis is a crucial part of the nursing assessment for a patient with suspected PID.
However, collecting vaginal and cervical swabs primarily supports obtaining a detailed medical history, which is essential for diagnosing and managing PID.
Correct Answer is C
Explanation
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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