Question

Which information about pelvic inflammatory disease (PID) would the nurse appropriately include when teaching sexually active young adults? a. The single most obvious symptom of PID is severe pelvic pain. b. PID is an infection of the uterus and Fallopian tubes. c. Vaginal discharge is scant but with a foul odor. d. PID can result in infertility due to inflammation and scarring.

Short answer

Include options b and d.

Step-by-step solution

Understand the Question

Identify the type of information about pelvic inflammatory disease (PID) that should be included in teaching sexually active young adults.

Analyze Each Option

Break down each option to understand its correctness. This includes: Option a: The most obvious symptom of PID being severe pelvic pain. Option b: PID being an infection of the uterus and Fallopian tubes. Option c: Vaginal discharge being scant but with a foul odor. Option d: PID can result in infertility due to inflammation and scarring.

Evaluate Correctness of Each Option

Assess whether each statement accurately describes PID or is an essential part of teaching about the disease. Option a: Severe pelvic pain can be a symptom but is not always the single most obvious one. Option b: PID typically involves infection of the uterus and Fallopian tubes, making this a correct statement. Option c: Vaginal discharge can vary and is not typically scant; this statement can be misleading. Option d: Infertility due to inflammation and scarring is a significant long-term consequence of PID, making this a correct statement.

Choose the Best Options to Include in Teaching

Identify which information holds the most significance for teaching purposes. Based on the analysis, the most accurate and important statements are: Option b: PID is an infection of the uterus and Fallopian tubes. Option d: PID can result in infertility due to inflammation and scarring.

Key concepts

PID symptoms

Pelvic Inflammatory Disease (PID) presents a range of symptoms that can vary in severity and presentation. Some of the common symptoms include:

• Pain in the lower abdomen or pelvis
• Unusual vaginal discharge, often with a foul odor
• Pain or bleeding during sex
• Fever and chills
• Painful or difficult urination

It's important to note that not all women with PID will experience severe symptoms, and in some cases, the symptoms may be mild or absent. This can make recognition and treatment more challenging.
Understanding the symptoms is crucial for early detection and prompt treatment to prevent further complications.

PID causes

PID is typically caused by bacteria that ascend from the vagina or cervix into the reproductive organs. The most common infections leading to PID are sexually transmitted infections (STIs), particularly:

• Chlamydia
• Gonorrhea

Other possible bacterial infections can also cause PID. Factors that increase the risk of developing PID include:

• Having multiple sexual partners
• Having a partner with an STI
• Previous history of PID or STIs
• Frequent douching, which can alter the vaginal flora and allow bacteria to ascend

Educating sexually active young adults about practicing safe sex and the potential risks associated with STIs is critical in preventing PID.

PID complications

If left untreated, PID can lead to significant and severe complications. Some of the long-term complications include:

• Infertility: Due to scarring and damage to the fallopian tubes
• Ectopic pregnancy: Increased risk due to scarred fallopian tubes
• Chronic pelvic pain: Persistent discomfort even after the infection has been treated
• Tubo-ovarian abscess: A serious condition requiring immediate medical attention

Early diagnosis and treatment of PID are essential in preventing these complications. Emphasizing the importance of seeking medical help when experiencing any symptoms, practicing safe sex, and regular STI screenings can significantly reduce the risk of developing PID and its associated complications.