The nurse is creating a care plan for a patient who is unable to ...

[iveyjurea]

The nurse is creating a care plan for a patient who is unable to conceive as a consequence of endometriosis. Which statement accurately reflects a nursing diagnosis that may apply to the care of this patient?
 
  1. Acute pain related to dysuria and renal pain secondary to endometriosis
  2. Hyperandrogenism related to elevated serum androgen levels secondary to endometriosis
  3. Compromised family coping related to depression secondary to infertility
  4. Infertility related to endometrial inflammation and adhesions secondary to endometriosis

Question 2

The nurse is teaching a class to women who were recently diagnosed with benign breast disease (BBD), commonly known as fibrocystic breast disease.
 
  One of the participants reports increased swelling, pain, and pressure in her breasts just before menstruation. What is the best response by the nurse?
  1. Consider asking your nurse practitioner about adding a mild diuretic to your regimen.
  2. The pain may be caused by thinning of the normal breast tissue.
  3. Breast swelling and pressure are expected symptoms, but pain is abnormal and should be evaluated by your physician.
  4. It's best to make an appointment with an oncologist.

[bookworm410]

Answer to Question 1

Correct Answer: 3
Rationale 1: Pelvic pain is a frequent symptom of endometriosis, while dysuria and renal pain are more commonly associated with conditions such as upper urinary tract infections (UTI).
Rationale 2: Hyperandrogenism is a medical diagnosis that pertains to elevated serum androgen levels. Hyperandrogenism is associated with polycystic ovarian syndrome (PCOS).
Rationale 3: Infertility may lead to depression and subsequent compromised family coping, which is a nursing diagnosis.
Rationale 4: Although associated with the medical condition of endometriosis, infertility is a medical diagnosis.

Answer to Question 2

Correct Answer: 1
Rationale 1: Treatment of BBD may include taking a mild diuretic during the week prior to the onset of menses to counteract fluid retention, relieve pressure in the breast, and help decrease pain.
Rationale 2: The pathology of BBD involves fibrosis, which is a thickening of the normal breast tissue.
Rationale 3: Common symptoms associated with BBD include cyclical breast pain, tenderness, and swelling.
Rationale 4: Cyclical breast pain, swelling, and tenderness are common symptoms associated with BBD. Generally fibrocystic changes are not a risk factor for breast cancer.

[iveyjurea]

Thank you

[bookworm410]

No problemo