(Select all that apply):
A nurse is educating a group of clients about potential symptoms of Endometriosis.
Which of the following symptoms should the nurse include in the discussion?
Dyspareunia.
Fatigue.
Irregular menstruation.
Constipation.
Frequent urination.
Correct Answer : A,C,D,E
Choice A rationale:
Dyspareunia (painful intercourse) is a common symptom of endometriosis and should be included in the discussion of potential symptoms.
It is important for clients to recognize this symptom, as it can significantly impact their quality of life and may be an indication of the condition.
Choice B rationale:
Fatigue is a symptom that some individuals with endometriosis may experience, but it is not as specific to the condition as other symptoms.
Fatigue can result from various causes, and its presence alone may not lead to a diagnosis of endometriosis.
Therefore, while fatigue can be mentioned, it is not as crucial to include in the discussion compared to other more specific symptoms.
Choice C rationale:
Palpable nodules (endometriotic nodules) are a characteristic finding in endometriosis and should be included in the discussion.
These nodules can be felt during a pelvic examination and are a significant clinical sign used in the diagnosis of the condition.
Choice D rationale:
A retroverted uterus (a uterus tilted backward) is not a direct symptom of endometriosis, but it is a finding that the nurse should be attentive to during the physical examination.
While it is not specific to endometriosis, it can provide valuable information about the patient's pelvic anatomy, which may be relevant to the assessment and diagnosis of endometriosis.
Choice E rationale:
Frequent urination is a symptom that can be associated with endometriosis, especially if endometriotic lesions affect the bladder or pelvic area.
Including this symptom in the discussion helps raise awareness among clients about the potential varied presentations of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale:
Heavy menstrual bleeding is commonly associated with endometriosis.
The presence of endometrial-like tissue outside the uterus can lead to increased bleeding during menstruation.
Choice B rationale:
Frequent urination is not typically associated with endometriosis.
While endometriosis can cause pelvic pain and discomfort, it does not directly lead to urinary symptoms like frequent urination.
Choice C rationale:
Severe constipation is not commonly associated with endometriosis.
Endometriosis primarily affects the pelvic area and reproductive organs, and it is not a direct cause of gastrointestinal symptoms like constipation.
Choice D rationale:
Dysmenorrhea, which refers to painful menstrual periods, is commonly associated with endometriosis.
The presence of endometrial-like tissue in the pelvis can lead to inflammation and pain during menstruation.
Choice E rationale:
Painful intercourse, known as dyspareunia, is commonly associated with endometriosis.
The presence of endometrial-like tissue in the pelvic area can lead to pain and discomfort during sexual intercourse.
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