Author Question: A client is diagnosed with uterine fibroids. Which of the following would indicate that surgery is ... (Read 70 times)

roselinechinyere27m · **on:** Jun 25, 2018

A client is diagnosed with uterine fibroids. Which of the following would indicate that surgery is needed for this client? (Select all that apply.)

1. Abnormal bleeding not responsive to other therapy
2. Weight gain of 10 lbs over the last 3 months
3. Growth of fibroids after menopause
4. Chronic constipation
5. Client unable to conceive
6. Diagnosed with iron deficiency anemia

Question 2

A client diagnosed with type 2 diabetes mellitus becomes diaphoretic and irritable during exercise. The blood glucose level at this time is 53 mg/dL. Which of the following should the client be instructed to do when this occurs?

1. Ingest 5 to 10 g of a simple carbohydrate.
2. Ingest 10 to 15 g of a simple carbohydrate.
3. Ingest 15 to 25 g of a simple carbohydrate.
4. Call paramedics.

cascooper22 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

1, 3, 5, 6
Indications for surgical management of fibroids include abnormal bleeding that is not responding to medical therapy, growth of fibroids after menopause, infertility, and iron deficiency anemia. Weight gain and chronic constipation are not indications for surgery to remove uterine fibroids.

Answer to Question 2

2
If the client becomes hypoglycemic during exercise, the client should be instructed to stop and monitor the blood glucose level every 15 minutes until the level is greater than 89 mg/dL. The client should ingest 15 grams of a carbohydrate such as milk, juice, soft drink, or glucose tablets. The treatment can be repeated in 15 minutes if ineffective.