Difficulty: Medium
Average Score: 79%
Simulated
Passage / Scenario
A client with a suspected diagnosis of endometriosisWhich of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?
Correct answer
A
Rationale
The correct answer is A: Dysmenorrhea that is unresponsive to NSAIDs. Dysmenorrhea, or painful periods, is a common symptom of endometriosis due to the presence of endometrial tissue outside the uterus. NSAIDs are typically used to manage period pain, but if the dysmenorrhea is unresponsive to NSAIDs, it suggests a more severe underlying condition like endometriosis. This finding is consistent with endometriosis because the abnormal growth of endometrial tissue can cause severe and persistent pelvic pain.
Other choices are incorrect because:
B: An atypical Papanicolaou smear is related to cervical cell abnormalities, not endometriosis.
C: A history of PID is an infection of the reproductive organs, not directly linked to endometriosis.
D: Abdominal bloating before menses can be a symptom of various conditions, but not specific to endometriosis.
Other choices are incorrect because:
B: An atypical Papanicolaou smear is related to cervical cell abnormalities, not endometriosis.
C: A history of PID is an infection of the reproductive organs, not directly linked to endometriosis.
D: Abdominal bloating before menses can be a symptom of various conditions, but not specific to endometriosis.