The nurse is discharging a patient after hospitalization for ...

[BrownTown3]

The nurse is discharging a patient after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective?
 
  1. I might have infertility because of this infection.
  2. It is important for me to finish my antibiotics.
  3. Tubal pregnancy could occur after PID.
  4. My PID was caused by a yeast infection.
  5. I am going to have an IUD placed for contraception.

Question 2

The nurse is preparing a brochure that compares and contrasts cystitis and pyelonephritis. Which information should be included in the brochure?
 
  1. Both conditions usually present with sudden onset of chills, high temperature, and flank pain.
  2. Dysuria, especially at the end of urination, is often the initial symptom of both conditions.
  3. Both conditions are associated with pregnancy complications including increased risk of preterm birth and of intrauterine growth restriction.
  4. Urine culture is included in the evaluation of both cystitis and pyelonephritis.

[Danny Ewald]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Women sometimes become infertile because of scarring in the fallopian tubes as a result of the inflammation of PID.
Rationale 2: Antibiotic therapy should always be completed when a patient is diagnosed with any infection.
Rationale 3: The tubal scarring that occurs from tubal inflammation during PID can prevent a fertilized ovum from passing through the tube into the uterus, causing an ectopic or tubal pregnancy.
Rationale 4: PID is caused by bacteria, most commonly Chlamydia trachomatis or Neisseria gonorrhoeae. Yeast infections do not ascend and become upper reproductive tract infections.
Rationale 5: An intrauterine device (IUD) in place increases the risk of developing PID; a patient who has a history of PID is not a good candidate for an IUD.

Answer to Question 2

Correct Answer: 4
Rationale 1: Acute pyelonephritis has a sudden onset, with chills, high temperature, and flank pain (either unilateral or bilateral).
Rationale 2: The initial symptom of cystitis is often dysuria, specifically at the end of urination.
Rationale 3: Pyelonephritis during pregnancy is associated with an increased risk of preterm birth and intrauterine growth restriction.
Rationale 4: Diagnosis of cystitis is made with a urine culture. Women with acute pyelonephritis should have a urine culture and sensitivity done to determine the appropriate antibiotic.

[BrownTown3]

Excellent

[AmberC1996]

Gracias!