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."
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.
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