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 D

Explanation

A. While varicose veins can be a risk factor for deep vein thrombosis (DVT), which in turn can lead to a PE, they are not an acute symptom of a PE.

B. Thick green sputum is more indicative of a respiratory infection, such as pneumonia, rather than a pulmonary embolus.

C. Hypertension can be seen in various conditions but is not a primary indicator of PE.

D. Sudden dyspnea (difficulty breathing) is a classic sign of a pulmonary embolus, as the clot obstructs blood flow to the lungs, leading to respiratory distress.

A. expiratory wheeze; PCO₂ 36 B. respiratory rate of 42; SO₂ 79% C. respiratory rate of 24; pH 7.46 D. barking cough; PO₂ 90

Correct Answer is B

Explanation

A. An expiratory wheeze with a PCO₂ of 36 (within normal range) does not typically indicate respiratory failure.

B. A respiratory rate of 42 and a low oxygen saturation (SO₂) of 79% indicate hypoxemia and respiratory distress, which are hallmarks of respiratory failure.

C. A respiratory rate of 24 with a pH of 7.46 suggests mild hyperventilation or anxiety rather than respiratory failure.

D. A barking cough and a PO₂ of 90 are not indicative of respiratory failure; PO₂ of 90 is within normal limits.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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