Author Question: A 24-year-old patient with pelvic inflammatory disease (PID) is being treated with oral antibiotics ... (Read 79 times)

lilldybug07 · **on:** Jun 25, 2018

A 24-year-old patient with pelvic inflammatory disease (PID) is being treated with oral antibiotics as an outpatient. Which instruction will be included in patient teaching?

a. Abdominal pain may persist for several weeks.
b. Return for a follow-up appointment in 2 to 3 days.
c. Instruct a male partner to use a condom during sexual intercourse for the next week.
d. Nonsteroidal antiinflammatory drug (NSAID) use may prevent pelvic organ scarring

Question 2

The nurse is caring for a 20-year-old patient with pelvic inflammatory disease (PID) requiring hospitalization. Which nursing intervention will be included in the plan of care?

a. Monitor liver function tests.
b. Use cold packs PRN for pelvic pain.
c. Elevate the head of the bed to at least 30 degrees.
d. Teach the patient how to perform Kegel exercises.

kilada · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The patient is instructed to return for follow-up in 48 to 72 hours. The patient should abstain from intercourse for 3 weeks. Abdominal pain should subside with effective antibiotic therapy. Corticosteroids may help prevent inflammation and scarring, but NSAIDs will not decrease scarring.

Answer to Question 2

ANS: C
The head of the bed should be elevated to at least 30 degrees to promote drainage of the pelvic cavity and prevent abscess formation higher in the abdomen. Although a possible complication of PID is acute perihepatitis, liver function tests will remain normal. There is no indication for increased fluid intake. Application of heat is used to reduce pain. Kegel exercises are not helpful in PID.