A nurse is caring for a patient with Endometriosis who is experiencing severe pelvic pain.
Which nursing intervention is most appropriate for managing the patient's pain?
Administer prescribed medications.
Recommend immediate surgical intervention.
Encourage the patient to perform strenuous exercise.
Suggest the use of herbal remedies.
The Correct Answer is A
Choice A rationale:
Administering prescribed medications is the most appropriate nursing intervention for managing severe pelvic pain in a patient with endometriosis.
Nonsteroidal anti-inflammatory drugs (NSAIDs) and hormonal medications are commonly prescribed to alleviate pain and reduce the growth of endometrial tissue outside the uterus.
These medications can help relieve pain and improve the patient's quality of life.
Choice B rationale:
Recommending immediate surgical intervention is not the first-line approach for managing pelvic pain in endometriosis.
Surgery may be considered if medical management with medications is ineffective or if there are complications such as ovarian cysts or extensive tissue involvement.
However, surgery is typically not the initial intervention for pain relief.
Choice C rationale:
Encouraging the patient to perform strenuous exercise is not recommended for managing severe pelvic pain in endometriosis.
Strenuous exercise can potentially exacerbate pain and discomfort in individuals with endometriosis.
Instead, gentle and low-impact exercises may be more suitable for improving overall well-being without worsening symptoms.
Choice D rationale:
Suggesting the use of herbal remedies is not the primary approach for managing severe pelvic pain in endometriosis.
While some patients may explore complementary therapies, such as herbal remedies, as part of their symptom management, these should be used cautiously and in conjunction with conventional medical treatments.
Herbal remedies alone are unlikely to provide sufficient pain relief or address the underlying cause of endometriosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Dysuria (painful urination) and dyschezia (painful bowel movements) are not typical symptoms of endometriosis.
While endometriosis can cause a range of symptoms, the primary symptoms include pelvic pain, dysmenorrhea (painful menstrual periods), dyspareunia (painful sexual intercourse), and infertility.
Choice B rationale:
Fatigue and cyclic gastrointestinal symptoms are not the primary or most characteristic symptoms of endometriosis.
While some individuals with endometriosis may experience fatigue and gastrointestinal symptoms, these are not the hallmark symptoms of the condition.
Choice D rationale:
Infertility can be associated with endometriosis.
Endometriosis can lead to the formation of adhesions and scar tissue in the pelvic region, which can affect fertility by blocking or damaging the fallopian tubes and disrupting normal pelvic anatomy.
It is important to address infertility concerns in patients with endometriosis and provide appropriate management options.
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
The absence of pelvic tenderness would not be a typical finding in a patient suspected of having endometriosis.
In fact, pelvic tenderness is often associated with endometriosis due to the inflammatory nature of the condition.
Therefore, the nurse would not particularly focus on this finding during the assessment.
Choice B rationale:
Mobile pelvic organs can be a significant finding in patients with endometriosis.
The presence of adhesions and endometriotic implants can lead to decreased mobility of pelvic organs, which may be palpable during a physical examination.
This finding can be indicative of endometriosis and warrants attention during the assessment.
Choice C rationale:
Palpable nodules (endometriotic nodules) are a key clinical finding that the nurse should be attentive to during the assessment of a patient suspected of having endometriosis.
These nodules, often located within the pelvic cavity, can be felt during a pelvic examination and are a characteristic feature of the condition.
Choice D rationale:
A retroverted uterus is not a specific finding associated with endometriosis.
While the nurse should perform a thorough pelvic examination, the presence of a retroverted uterus alone would not confirm or rule out endometriosis.
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