A patient has been diagnosed with endometriosis. When planning this patient's care, the nurse should prioritize what nursing diagnosis?
A) Anxiety related to risk of transmission
B) Acute pain related to misplaced endometrial tissue
C) Ineffective tissue perfusion related to hemorrhage
D) Excess fluid volume related to abdominal distention
Ans: B
Feedback:
Symptoms of endometriosis vary but include dysmenorrhea, dyspareunia, and pelvic discomfort or pain. Dyschezia (pain with bowel movements) and radiation of pain to the back or leg may occur. Ineffective tissue perfusion is not associated with endometriosis and there is no plausible risk of fluid overload. Endometriosis is not transmittable.
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