A patient who has endometriosis has been unable to conceive. She ...

[serike]

A patient who has endometriosis has been unable to conceive. She asks the nurse about medications to treat the condition. What will the nurse tell the patient?
 
  a. Combination oral contraceptives are ef-fective for improving fertility.
  b. Gonadotropin-releasing hormone agonists are used for long-term treatment.
  c. Nonsteroidal anti-inflammatory drugs are second-line agents for treating pain.
  d. Pharmacologic agents used to treat endo-metriosis do not enhance fertility.

Question 2

A patient who is malnourished has scaling, cracked skin on the arms and face. The patient is irritable, anxious, and has difficulty sleeping. The patient complains of soreness of the tongue and mouth.
 
  When teaching this patient about vitamin therapy for this disorder, the nurse will tell the patient to report which side effects? a. Abdominal cramps and diarrhea
  b. Flushing, dizziness, and nausea
  c. Migraine headaches
  d. Numbness of feet and hands

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Answer to Question 1

D
Surgery reduces symptoms of endometriosis and improves fertility; drugs used to treat endome-triosis only reduce discomfort. Combination oral contraceptives only treat symptoms; they do not improve fertility. Gonadotropin-releasing hormone agonists cannot be used long term because of side effects of osteoporosis and hot flashes. Nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line agents for endometriosis pain.

Answer to Question 2

B
This patient shows signs of niacin deficiency. Side effects of niacin deficiency include flushing, dizziness, and nausea secondary to vasodilation. Abdominal cramps, diarrhea, migraines, and numbness of extremities are not side effects of niacin deficiency.

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