What topic should the nurse plan as a priority to teach a 26-year-old patient who has been treated for pelvic inflammatory disease?
Use of hormone therapy (HT)
Irregularities in the menstrual cycle
Changes in secondary sex characteristics
Potential complication of infertility
The Correct Answer is D
Choice A rationale: Hormone therapy (HT) is used to treat menopausal symptoms, not PID.
Choice B rationale: Irregularities in the menstrual cycle is not a common complications of PID.
Choice C rationale: Changes in secondary sex characteristics is not a common complications of PID.
Choice D rationale: Pelvic inflammatory disease (PID) is an infection of the female reproductive organs that can cause scarring and damage to the fallopian tubes, ovaries, and uterus. This can lead to ectopic pregnancy, chronic pelvic pain, and infertility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Furosemide is a loop diuretic used to increase urine output by blocking the reabsorption of sodium and water. It's not typically associated with hyperkalemia. In fact, it's more common for loop diuretics like furosemide to cause hypokalemia (low potassium) due to increased urinary excretion of potassium.
Choice B rationale: Lovastatin is a statin used to lower cholesterol levels. It is not related to increased cholesterol. Additionally, there is no known direct interaction between lovastatin and furosemide. Furosemide is a diuretic, while selective serotonin reuptake inhibitors (SSRIs) are a class of antidepressants, and they do not typically interact in a way that requires discontinuation.
Choice C rationale: Duloxetine is an antidepressant (SNRI), and glipizide is an oral diabetes medication. There's no direct interaction between duloxetine and glipizide that would necessitate discontinuation.
Choice D rationale: Trimethoprim/sulfamethoxazole (Bactrim) is a sulfonamide antibiotic, and glipizide belongs to the sulfonylurea class of medications. Both drugs contain sulfur groups in their chemical structures, and there is a possibility of cross-reactivity or drug interaction. This interaction can potentially reduce the effectiveness of glipizide, leading to compromised blood sugar control. Additionally, sulfonamide antibiotics like trimethoprim/sulfamethoxazole can cause adverse reactions, including skin rashes or hypersensitivity reactions, particularly in individuals sensitive to sulfa medications.
Correct Answer is A
Explanation
Choice A rationale: Plantar fasciitis typically presents with severe pain in the arch of the foot, especially during the first steps in the morning or after prolonged periods of rest.
Choice B rationale: Multiple toe deformities are not typically associated with plantar fasciitis.
Choice C rationale: Redness and severe swelling are not typical findings in plantar fasciitis.
Choice D rationale: Numbness and paresthesia are not common findings in plantar fasciitis.
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