The nurse is planning care for a woman with premenstrual syndrome ...

[lidoalex]

The nurse is planning care for a woman with premenstrual syndrome (PMS). On which problems should the nurse focus when planning this patient's care?
 
  Select all that apply.
  1. issues with self-esteem
  2. problems managing acute pain
  3. difficulty coping
  4. potential problems with body image
  5. sexual dysfunction

Question 2

A patient with dysfunctional uterine bleeding (DUB) has been informed that this problem requires surgical intervention. Which procedures should the nurse review with this patient?
 
  Select all that apply.
  1. hysterectomy
  2. laparoscopy
  3. endometrial ablation
  4. hormonal agents
  5. therapeutic dilatation and curettage (D&C)

[stano32]

Answer to Question 1

Correct Answer: 2, 3
With PMS women may have pain from headaches (migraines), menstrual cramps, excessive fluid retention, breast swelling, joint/muscle pain, and backache. Many women experience wide mood swings during episodes of PMS, sometimes exhibiting self-destructive or aggressive behaviors toward others. These mood swings can interfere with a woman's ability to manage her responsibilities at home or at work. Self-esteem, body image, and sexual dysfunction are not associated with PMS.

Answer to Question 2

Correct Answer: 1, 3, 5
Surgical intervention is based on using the least invasive method that provides effective relief, beginning with therapeutic D&C, then endometrial ablation, and, lastly, hysterectomy. Laparoscopy is not indicated for dysfunctional uterine bleeding. Administering hormonal agents is not a surgical procedure.

[lidoalex]

Thank you

[stano32]

Happy to help you