(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
Explanation
Choice A rationale:
Mammography is not a relevant diagnostic test for endometriosis.
Mammography is primarily used to detect breast abnormalities, particularly in breast cancer screening.
Endometriosis involves the presence of endometrial tissue outside the uterus, typically in the pelvic area, and is not related to breast tissue.
Choice B rationale:
Transvaginal ultrasound is a valuable diagnostic tool for evaluating endometriosis.
This imaging technique can visualize the pelvic organs and detect the presence of endometrial tissue implants or cysts in the ovaries, which are common manifestations of endometriosis.
It allows healthcare providers to assess the extent of the disease and guide treatment decisions.
Choice C rationale:
Bone density scan (DEXA scan) is not a diagnostic test for endometriosis.
DEXA scans are used to measure bone density and assess the risk of osteoporosis or bone fractures.
While endometriosis can potentially affect bone health due to hormonal changes, a bone density scan is not used to confirm the presence of endometriosis itself.
Choice D rationale:
Electrocardiogram (ECG or EKG) is a test used to record the electrical activity of the heart and is unrelated to the diagnosis of endometriosis.
ECGs are typically used to evaluate cardiac function, detect arrhythmias, or assess the overall health of the heart.
Correct Answer is C
Explanation
Choice A rationale:
Encouraging the patient to avoid physical activity is not an appropriate intervention for managing pelvic pain in endometriosis.
In fact, some physical activity, such as gentle exercise and stretching, can be beneficial in relieving pain and maintaining muscle tone.
Complete inactivity can lead to muscle stiffness and worsen discomfort.
Choice B rationale:
Administering a high-dose antibiotic is not appropriate for managing endometriosis-related pelvic pain because endometriosis is not caused by an infection.
It is a chronic inflammatory condition, and antibiotics do not target the underlying cause of the pain.
Choice D rationale:
Advising the patient to consume caffeine to alleviate pelvic pain is not a suitable intervention.
Caffeine can potentially worsen pelvic pain in some individuals as it can cause increased muscle tension and irritation.
It is not a recommended pain management strategy for endometriosis-related pain.
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