Author Question: A female patient complains of severe menstrual cramps. Which uterine structure should the nurse ... (Read 79 times)

awywial · **on:** Jun 25, 2018

A female patient complains of severe menstrual cramps. Which uterine structure should the nurse recognize is responsible for the patient's complaint?

1. perimetrium
2. myometrium
3. endometrium
4. cervix

Question 2

A 40-year-old male patient is concerned with his inability to have an erection since he was prescribed an antispasmodic for a muscular back injury and hydrocortisone cream to manage a chronic integumentary condition.

What should the nurse suspect this patient is experiencing?

1. side effect of the antispasmodic medication
2. age-related erectile dysfunction
3. side effect of the hydrocortisone cream
4. result of the muscular back injury

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

Answer to Question 1

Correct Answer: 2
The myometrium is the middle layer and makes up most of the uterine wall. This layer has muscle fibers that run in various directions and allow contractions during menstruation or childbirth and expansion as the fetus grows. Neither the perimetrium, a serous layer, nor the endometrium, the innermost layer that is shed during menstruation, has muscle that can contract and cause pain. The cervix is the pathway between the vagina and the uterus and is not the area of muscle contraction that causes menstrual cramps.

Answer to Question 2

Correct Answer: 1
Antispasmodic medication may cause problems with sexual function. Hydrocortisone cream is not identified as a medication that may cause problems with sexual function. A male at the age of 40 does not routinely experience erectile dysfunction. There is no indication that the patient has any neurological deficits from the muscular back injury.