A woman suffering from severe vasomotor menopausal symptoms wants ...

[future617RT]

A woman suffering from severe vasomotor menopausal symptoms wants to use complementary or alternative therapies instead of hormone therapy. What advice by the nurse is best?
 
  A.
  Acupuncture has been shown to work better than other body therapies.
  B.
  Herbs are a great option as they do not typically have side effects.
  C.
  Mind-body, manipulative, or traditional Chinese medicine are safer than herbs.
  D.
  Research shows that black cohosh significantly reduces hot flashes.

Question 2

A nulliparous 53-year-old woman is in the clinic complaining of lower abdominal fullness, heavy menses, and severe menstrual cramping. What treatment does the nurse anticipate for this woman?
 
  A.
  Administration of leuprolide (Lupron)
  B.
  Hysterectomy and bilateral salpingo-oophorectomy
  C.
  None; issue will resolve spontaneously
  D.
  Surgical removal of the ovaries

[lindahyatt42]

Answer to Question 1

ANS: C
There is no evidence that either herbal preparations or complementary approaches such as acupuncture, mind-body therapies, or manipulative therapies significantly reduce the symptoms of menopause. However, body-related therapies are considered safer because they do not have the side effects of herbal preparations. The nurse's best answer is to explain this to the patient.

Answer to Question 2

ANS: A
These are symptoms of a uterine leiomyoma (fibroid). The medical treatment includes nonsteroidal anti-inflammatory drugs, oral contraceptives, and Lupron. Ovarian cysts often resolve spontaneously. For ovarian cancer, a complete hysterectomy with bilateral salpingo-oopherectomy is the procedure of choice. Because some of these symptoms are also seen in ovarian cancer, the nurse should be sure to assess the patient further.

[future617RT]

Thanks for the timely response, appreciate it

[cam1229]

Gracias!