A 56-year-old patient comes into the gynecology clinic with the ...

[Zoey63294]

A 56-year-old patient comes into the gynecology clinic with the complaints of constipation and a protrusion from her vagina. This patient most likely has:
 
  1. A cystocele.
  2. A prolapsed uterus.
  3. Polycystic ovarian syndrome.
  4. A rectocele.

Question 2

A client is diagnosed with a cystocele. The nurse actively listens as the client talks about which treatment choice to make.
 
  The treatment options available to the client are which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Kegel exercises
  2. Vaginal pessaries
  3. Surgical intervention
  4. Estrogen
  5. Fine-needle aspiration

[shaquita]

Answer to Question 1

4
Rationale 1: A cystocele is a bulge from the anterior wall of the vagina which causes incontinence but not constipation.
Rationale 2: A prolapsed uterus sometimes protrudes through the vaginal opening, but does not cause constipation.
Rationale 3: Polycystic ovarian syndrome has none of these symptoms.
Rationale 4: This is the correct answer. The patient often complains of constipation, and the anterior wall of the rectum protrudes through the vagina.

Answer to Question 2

1, 2, 3, 4
Explanation: 1. One treatment option is to use Kegel exercises.
2. A treatment choice the client has is to have a pessary or ring inserted.
3. Surgical intervention is one approach to helping the client with a cystocele.
4. Estrogen may improve the condition of vaginal mucous membranes, especially in menopausal women.