Author Question: A client with premenstrual syndrome (PMS) has been on diet therapy, diuretics, and medications such ... (Read 52 times)

rlane42 · **on:** Jun 25, 2018

A client with premenstrual syndrome (PMS) has been on diet therapy, diuretics, and medications such as danazol (Danocrine) and fluoxetine (Prozac) and still finds no relief from the symptoms. The nurse recognizes that the client might benefit from:

1. alternative therapies such as reflexology.
2. belonging to a PMS support group.
3. oophorectomy, to relieve the hormonal imbalance.
4. a vigorous daily exercise regimen.

Question 2

When caring for the client with uterine prolapse, nursing interventions should include:

1. having the client lie in knee-chest position for an hour, twice daily.
2. recommending laxatives to prevent constipation.
3. teaching the client Kegel exercises.
4. having the client lie in a high Fowler's position when experiencing low back pain.

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

Answer to Question 1

Answer: 1

1. Since diet and medication have not been helpful, alternative therapies provide options that have been helpful to other women with PMS.
2. A support group is not indicated.
3. An oophorectomy would not be indicated.
4. Exercise should be balanced with rest.

Answer to Question 2

Answer: 3

1. The knee-chest position is not recommended for uterine prolapse.
2. Although prolapse can cause constipation laxative use should not be recommended.
3. Kegel exercises help to strengthen pelvic floor muscles, helping to minimize urinary leakage and descent of the bladder and rectum into the vagina.
4. A high-Fowler's position will not necessarily help with back pain.