Author Question: The nurse is reviewing the manifestations of premenstrual syndrome (PMS) with a group of community ... (Read 57 times)

anjilletteb · **on:** Jun 25, 2018

The nurse is reviewing the manifestations of premenstrual syndrome (PMS) with a group of community women. Which dietary changes should the nurse recommend?

Select all that apply.
1. eating a diet high in complex carbohydrates
2. eating a diet high in protein
3. increasing caffeine intake
4. increasing fat intake
5. reducing sodium and alcohol consumption

Question 2

The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which interventions in the teaching plan?

Select all that apply.
1. Kegel exercises
2. increased caffeine intake
3. use of progesterone supplements
4. proper perineal care
5. use of perineal pads

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

Answer to Question 1

Correct Answer: 1, 5
In the treatment of PMS, it is suggested that the woman consume a diet high in complex carbohydrates; reduce sodium intake, which helps minimize fluid retention; and limits alcohol intake. Caffeine is restricted to reduce irritability. A high-protein diet and increasing fat intake are not indicated.

Answer to Question 2

Correct Answer: 1, 4, 5
Kegel exercises strengthen perineal muscle tone, minimize urinary leakage, and minimize descent of the bladder and rectum into the vagina. Proper perineal care is essential with stress incontinence to minimize skin irritation and the potential for infection. Use of perineal pads allows the patient to return to her normal daily activities. Reducing or eliminating caffeine can reduce urinary frequency and urgency. Estrogen supplements can improve perineal muscle tone in postmenopausal women.