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.
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.
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