Author Question: A 14-year-old girl complains of painful menstruation and is diagnosed with primary dysmenorrhea. ... (Read 73 times)

ghost! · **on:** Jul 16, 2018

A 14-year-old girl complains of painful menstruation and is diagnosed with primary dysmenorrhea. What is the recommended treatment for this disorder?

A) Cold compresses on the abdominal area
B) NSAIDs 1 to 2 days before menses begin
C) Hot baths
D) Antibiotic therapy

Question 2

The nurse is caring for a client postoperative pacemaker insertion. The nurse observes the client for signs of cardiac tamponade that must be reported at once. Which of the following are signs of this serious condition? Select all answers that apply.

A) Neck vein distention
B) Bradycardia
C) Muffled heart sounds
D) Crackles
E) Respiratory distress
F) Fever

JYan · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B
Feedback:
Treatment of primary dysmenorrhea is symptomatic. Administration of NSAIDs 1 to 2 days before the beginning of menses prevents the formation of prostaglandins and helps reduce discomfort and inflammation. Warm baths and relaxation techniques also help reduce pain. In severe cases, oral contraceptives may be used. Antibiotic therapy is not used to treat dysmenorrhea.

Answer to Question 2

A, C
Feedback:
The nurse should observe for neck vein distention or muffled heart sounds, which could indicate cardiac tamponade. These are serious signs that must be reported at once.