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?
Assessing vital signs, including temperature.
Obtaining a detailed medical history.
Evaluating the patient's response to antibiotic therapy.
Performing a physical examination of the abdomen and pelvis.
The Correct Answer is B
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Lower abdominal pain is commonly associated with PID.
Inflammation and infection in the pelvic area can cause pain and discomfort.
Choice B rationale:
Vaginal bleeding between periods is also a common clinical manifestation of PID.
The inflammation and damage to the reproductive organs can lead to irregular bleeding.
Choice C rationale:
Painful urination is not a typical symptom of PID.
It may be indicative of other urinary tract infections or conditions but is not directly associated with PID.
Choice D rationale:
Swollen ankles are not a common manifestation of PID.
This symptom is unrelated to PID and suggests other medical issues, such as circulatory or renal problems.
Choice E rationale:
Fever is a common symptom of PID.
The infection and inflammation in the reproductive organs can lead to an elevated body temperature as the body's immune response attempts to combat the infection.
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