A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).
The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.
Which statement by the patient is consistent with the clinical presentation of PID?

"I've been experiencing irregular menstrual bleeding.”

"I have a history of hypertension.”

"I often have headaches and fatigue.”

"I've been having trouble sleeping lately.”

Answer and Explanation

The Correct Answer is A

Choice A rationale:

"I've been experiencing irregular menstrual bleeding." This statement is consistent with the clinical presentation of PID.

PID can cause inflammation and scarring in the reproductive organs, leading to irregular menstrual bleeding as one of its symptoms.

This information is relevant to the assessment of PID.

Choice B rationale:

"I have a history of hypertension." Hypertension (high blood pressure) is not directly related to the clinical presentation of PID.

While it's important to gather a patient's medical history, this statement does not align with the typical symptoms of PID.

Choice C rationale:

"I often have headaches and fatigue." Headaches and fatigue are non-specific symptoms and are not characteristic of PID.

These symptoms could be caused by various underlying conditions but are not indicative of PID.

Choice D rationale:

"I've been having trouble sleeping lately." Trouble sleeping is a non-specific symptom and is not consistent with the clinical presentation of PID.

PID is primarily associated with gynecological symptoms such as lower abdominal pain, abnormal vaginal discharge, and painful intercourse.

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Correct Answer is ["A","C","D"]

Explanation

PID is an infection of the female reproductive organs that can cause pelvic pain, vaginal discharge, fever, and other symptoms. It is usually caused by sexually transmitted bacteria, such as gonorrhea or chlamydia, but other bacteria can also be involved.

The correct answers to your question are a, c, and d. These are the interventions that the nurse should include in the teaching:

Complete the full course of antibiotic therapy. This is important to cure the infection and prevent complications, such as chronic pelvic pain, infertility, or ectopic pregnancy. Antibiotics can be taken by mouth or given by injection, depending on the severity of the infection and the patient’s preference.

Sexual partners should be treated to prevent reinfection. Even if the partners do not have any symptoms, they may still carry the bacteria that can cause PID. Treating them can reduce the risk of spreading the infection to others or getting it again.

Avoid all sexual activity during PID treatment. This can help the healing process and prevent further irritation or inflammation of the pelvic organs. It is also recommended to avoid using tampons, douches, or other products that can introduce bacteria into the vagina.

The incorrect answers are b and e. These are the interventions that the nurse should not include in the teaching:

Hospitalization is always necessary for PID. This is not true, as most cases of PID can be treated as outpatients with oral antibiotics. However, some patients may need to be hospitalized if they have severe symptoms, such as high fever, vomiting, or signs of an abscess (a collection of pus) in the pelvis.

Pelvic rest is not required during PID treatment. This is also not true, as pelvic rest means avoiding any activity that can increase blood flow or pressure to the pelvic area, such as exercise, lifting, or straining. Pelvic rest can help reduce pain and inflammation and promote healing.

A. "I've been having pain in my joints lately.” B. "I've had a persistent cough for the past week.” C. "I've been feeling very thirsty all the time.” D. "I've been sweating a lot during the night.”

Correct Answer is C

Explanation

Choice A rationale:

"I've been having pain in my joints lately." This statement does not support the clinical presentation of PID.

Joint pain is not a common symptom of PID.

Fever and chills are more indicative of an infectious process, which is often seen in PID.

Choice B rationale:

"I've had a persistent cough for the past week." This statement does not support the clinical presentation of PID.

A persistent cough is more likely related to a respiratory condition rather than PID.

Choice C rationale:

"I've been feeling very thirsty all the time." This statement supports the clinical presentation of PID.

Increased thirst may be a sign of dehydration, which can occur due to fever and chills associated with PID.

Fever can lead to increased fluid loss through sweating, which can result in dehydration and increased thirst.

Choice D rationale:

"I've been sweating a lot during the night." This statement does not strongly support the clinical presentation of PID.

Night sweats can have various causes, including infections, but they are not specific to PID.

The combination of fever, chills, and increased thirst is more indicative of an infectious process like PID.

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A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.Which statement by the patient is consistent with the clinical presentation of PID?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply): A nurse is providing education to a group of patients about the treatment of Pelvic Inflammatory Disease (PID). Which interventions should the nurse include in the teaching? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

During the nursing assessment of a patient with suspected Pelvic Inflammatory Disease (PID), the nurse observes the patient experiencing fever and chills.Which statement by the patient supports the clinical presentation of PID?

Correct Answer is C

Explanation

(Select all that apply):A nurse is assessing a patient with suspected PID.Which clinical manifestations are commonly associated with PID? Select all that apply.

A client with Pelvic Inflammatory Disease (PID) complains of severe abdominal pain.Which nursing intervention is most appropriate for managing the client's pain?

A nurse is providing education to a patient diagnosed with Pelvic Inflammatory Disease (PID).Which statement by the nurse is the most appropriate in promoting patient understanding of the condition?

A nurse is assessing a patient with Pelvic Inflammatory Disease (PID). Which clinical manifestations should the nurse expect to find during the assessment?

Select all the nursing interventions that are appropriate for a patient diagnosed with Pelvic Inflammatory Disease (PID).

A nurse is collecting vaginal and cervical swabs from a patient with suspected Pelvic Inflammatory Disease (PID) for STI testing.Which aspect of the nursing assessment does this action primarily support?

A nurse is providing education to a group of young women about Pelvic Inflammatory Disease (PID).Which statement by one of the attendees indicates a need for further teaching?

A client with PID asks the nurse about the long-term consequences of the condition. Which of the following complications should the nurse include in the response?

A nurse is assessing a patient with suspected Pelvic Inflammatory Disease (PID).
The patient reports lower abdominal pain, abnormal vaginal discharge, and painful intercourse.
Which statement by the patient is consistent with the clinical presentation of PID?