A woman is upset because of issues with infertility. While talking with the nurse practitioner, she attempts to understand how endometriosis can cause infertility. Which response, by the nurse, indicates an understanding of this condition?

"Abnormal tissue outside the pelvic cavity causes inflammation and scarring of the reproductive tract."

"Scar tissue in the pelvic region, called adhesions, are causing a stricture of the urethra."

"Retrograde menstruation caused a neoplastic condition of the ovaries."

"An untreated bacterial infection of the reproductive tract is the cause of your infertility."

Answer and Explanation

The Correct Answer is A

A. Endometriosis involves the growth of endometrial tissue outside the uterus, causing inflammation, scarring, and adhesions that may obstruct reproductive pathways, leading to infertility.

B. Endometriosis typically does not cause urethral strictures; adhesions affect the reproductive tract, not the urinary system.

C. While retrograde menstruation is a theory for endometriosis development, it does not directly lead to a neoplastic (cancerous) condition of the ovaries.

D. Endometriosis is not caused by an untreated bacterial infection; rather, it is a condition of abnormal endometrial tissue growth.

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Correct Answer is C

Explanation

A. Hypokalemia causes hyperpolarization, not hypopolarization, making it more difficult for cells to reach an action potential.

B. Hypokalemia does not stimulate the vagus nerve but can lead to arrhythmias.

C. While hypokalemia can cause arrhythmias, it usually leads to tachycardia or other irregular rhythms rather than a bradycardic rate of 40 beats per minute.

D. Low potassium levels can lead to tachycardia (e.g., a heart rate of 150 beats per minute) and other dangerous arrhythmias due to increased irritability of cardiac cells.

A. The uninjured lung will hyperinflate because of an increased respiratory rate. B. Affected lung collapses as more air is exhaled through the traumatic injury. C. Trapped air causes collapse of the lung and can reduce the cardiac output. D. More CO2 is retained because weakened alveoli blebs rupture.

Correct Answer is C

Explanation

A. While an increased respiratory rate may occur, it does not directly lead to hyperinflation of the uninjured lung due to tension pneumothorax.

B. In a tension pneumothorax, air enters the pleural space and does not exhale effectively; it is not about exhalation.

C. Trapped air in the pleural cavity increases pressure, collapsing the lung and pushing mediastinal structures (like the heart) to the opposite side, thereby reducing venous return and cardiac output.

D. Retained CO2 is not a direct cause of tension pneumothorax; the main issue is the pressure from trapped air affecting lung function and hemodynamics.

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A woman is upset because of issues with infertility. While talking with the nurse practitioner, she attempts to understand how endometriosis can cause infertility. Which response, by the nurse, indicates an understanding of this condition?

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