A nurse is conducting a physical examination on a patient suspected of having Endometriosis.
What findings should the nurse be particularly attentive to during the assessment?
Absence of pelvic tenderness.
Mobile pelvic organs.
Palpable nodules.
Retroverted uterus.
Correct Answer : B,C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
Adhesions are a common complication of endometriosis that can result in pelvic pain and affect organ function.
Adhesions are fibrous bands that form between pelvic organs and tissues due to inflammation and scarring, leading to pain and potential complications.
Choice B rationale:
Ovarian cysts can occur in individuals with endometriosis, but they are not typically a complication of the condition itself.
While ovarian cysts can cause pain and discomfort, they are not the primary complication associated with endometriosis.
Choice C rationale:
Infertility is a significant complication of endometriosis.
It can result from the scarring and adhesions that affect the reproductive organs.
However, it is not directly associated with pelvic pain, as mentioned in the question.
Choice D rationale:
Increased risk of cancer is not a common complication of endometriosis.
While there may be a slightly elevated risk of certain types of ovarian cancer in individuals with endometriosis, it is not a primary concern in managing the condition, and it does not directly cause pelvic pain.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.