The nurse is teaching an adolescent with premenstrual syndrome ...

[asmith134]

The nurse is teaching an adolescent with premenstrual syndrome (PMS) dietary measures to relieve the symptoms of PMS. What should the nurse include in the teaching session? (Select all that apply.)
 
  a. Limit salt in the diet.
  b. Limit legumes in the diet.
  c. Include red meat in the diet.
  d. Include whole grains in the diet.
  e. Limit consumption of refined sugar.

Question 2

The nurse is teaching an adolescent girl strategies to relieve dysmenorrhea. What should the nurse include in the teaching session? (Select all that apply.)
 
  a. Effleurage
  b. Diet high in fat
  c. Limiting exercise
  d. Use of a heating pad
  e. Massaging the lower back

[CharlieArnold]

Answer to Question 1

ANS: A, D, E
Dietary treatment for PMS includes limiting consumption of refined sugar, salt, red meat, alcohol, and caffeinated beverages. Women can be encouraged to include whole grains, legumes, seeds, nuts, vegetables, fruits, and vegetable oils in their diet.

Answer to Question 2

ANS: A, D, E
Dysmenorrhea can be relieved by heat (heating pad or hot bath), which minimizes cramping by increasing vasodilation and muscle relaxation and minimizing uterine ischemia. Also, massaging the lower back can reduce pain by relaxing paravertebral muscles and increasing the pelvic blood supply. Soft, rhythmic rubbing of the abdomen (effleurage) is useful because it provides a distraction and an alternative focal point. A low-fat, not a high-fat, diet can help with dysmenorrhea, and exercise should not be limited because exercise can be beneficial.