The nurse is discharging a client after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Select all that apply
1. "Tubal pregnancy could occur after PID."
2. "My PID was caused by a yeast infection."
3. "It is important for me to finish my antibiotics."
4. "I might have infertility because of this infection."
5. "I am going to have an IUD placed for contraception."
3, 4
Explanation:
1. There is no evidence to support that PID increases the risk of tubal pregnancies.
2. PID is caused by bacteria, most commonly Chlamydia trachomatis or Neisseria gonorrhoeae. Yeast infections do not ascend and become upper reproductive tract infections.
3. Antibiotic therapy should always be completed when a client is diagnosed with any infection.
4. Women sometimes become infertile because of scarring in the fallopian tubes as a result of the inflammation of PID.
5. An intrauterine device (IUD) in place increases the risk of developing PID; a client who has a history of PID is not a good candidate for an IUD.
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