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 80 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
Excellent

6ana001

  • Member
  • Posts: 311
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Patients who cannot swallow may receive nutrition via a parenteral route—usually, a catheter is inserted through the chest into a large vein going into the heart.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla
A patient’s cognitive ability depends on his or her psychologic status, which is influenced by ... A patient’s cognitive ability depends on his or her psychologic status, which is influenced by ...
ROM exercises on a patient’s wrist: ulnar deviation. ROM exercises on a patient’s wrist: ulnar deviation.
Hormone and Hormone Antagonists Used for Neoplasia Hormone and Hormone Antagonists Used for Neoplasia
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)
Video: Structures that affect circulation - venous return

For a complete list of videos, visit our video library