This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with endometriosis is being treated with the gonadotropin-releasing hormone (GnRH) agonist ... (Read 88 times)

colton

  • Hero Member
  • *****
  • Posts: 627
on: Jul 23, 2018
A patient with endometriosis is being treated with the gonadotropin-releasing hormone (GnRH) agonist leuprolide (Lupron Depot). A nurse is teaching the patient about the drug.
 
  Which statement by the patient indicates understanding of the teaching?
  a. I can continue to take the medication if I get pregnant.
  b. I can expect the medication to cure my symptoms.
  c. I may have menopausal-like symptoms when taking this medication.
  d. I will need to take the medication for several years.

Question 2

A patient with polycystic ovary syndrome (PCOS) asks the nurse what she can do to improve her chances of getting pregnant. Which statement by the patient indicates a need for further teaching?
 
  a. Clomiphene will help induce ovulation but will not treat the other symptoms of polycystic ovarian disease.
  b. If I lose weight, my infertility and irregular periods could resolve without medications.
  c. Metformin improves insulin sensitivity and reduces male hormone levels.
  d. Spironolactone, which reduces androgens and facial hair, is helpful if I'm trying to conceive.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Liamb2179

  • Sr. Member
  • ****
  • Posts: 365
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Because the GnRH agonists deprive the ovary of the stimulation to produce estrogen, women may experience symptoms associated with menopause, including hot flashes, vaginal dryness, decreased libido, mood changes, and headache. GnRH agonists are teratogenic and should not be used during pregnancy. The medication does not produce a cure; symptoms return in up to 50 of women after discontinuation of the drug. GnRH agonists should be discontinued after 6 months of treatment because of the risk of osteoporosis.

Answer to Question 2

ANS: D
Spironolactone is antiandrogenic; it can reduce hirsutism and acne, but it also can harm the fetus and should not be used in patients trying to conceive. Clomiphene helps induce ovulation but does not treat symptoms of PCOS. Patients who lose weight might experience a reversal of symptoms without medications, although weight loss may be difficult to achieve. Metformin reduces serum insulin levels by increasing insulin sensitivity and indirectly lowers androgen levels.


colton

  • Member
  • Posts: 627
Reply 2 on: Jul 23, 2018
:D TYSM

Chelseyj.hasty

  • Member
  • Posts: 319
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Nurse-patient interaction; nonverbal communication Nurse-patient interaction; nonverbal communication
Treating the pregnant patient Treating the pregnant patient
Patient teaching: nose and sinus assessment Patient teaching: nose and sinus assessment
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
ROM exercises on a patient’s wrist: flexion. ROM exercises on a patient’s wrist: flexion.
Video: Non-specific disease resistance mechanisms & Skin's defense barriers

For a complete list of videos, visit our video library