Author Question: A client is being treated pharmacologically for endometriosis. Which statement by the client ... (Read 63 times)

deesands · **on:** Jul 23, 2018

A client is being treated pharmacologically for endometriosis. Which statement by the client indicates a need for further instruction?

1. I will be able to get pregnant as soon as I finish taking this medication.
2. I will probably have to take this medication for 36 months.
3. This medication could cause my voice to get deeper.
4. I should dress in layers, because I might get hot flashes while I take this medication.

Question 2

A client with infertility who was treated with clomiphene (Clomid) for 6 months without success will now be treated with a follitropin. Which statement by this client would require immediate intervention by the health care provider?

1. I have had three diarrhea stools each day since I started these medications.
2. I have had a headache since I began using these medications.
3. I began wheezing last night.
4. My husband is going to give me these injections.

laurnthompson · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: There is no guarantee that relief of endometriosis will translate into the ability to conceive.
Rationale 2: Most clients take medication for endometriosis for 36 months.
Rationale 3: Some medications used to treat endometriosis can cause masculinizing effects such as hirsutism and voice deepening.
Rationale 4: Some medications used to treat endometriosis can cause symptoms of menopause, such as hot flashes.
Global Rationale: There is no guarantee that relief of endometriosis will translate into the ability to conceive. Most clients take medication for endometriosis for 36 months. Some medications used to treat endometriosis can cause masculinizing effects such as hirsutism and voice deepening. Some medications used to treat endometriosis can cause symptoms of menopause, such as hot flashes.

Answer to Question 2

Correct Answer: 3
Rationale 1: The development of diarrhea is common with these medications.
Rationale 2: Headaches are a common adverse effect of these medications.
Rationale 3: The client might be developing an acute exacerbation of asthma. This adverse effect must be addressed immediately.
Rationale 4: These medications are given by injection. It is common for someone other than the client to inject the medications.
Global Rationale: The client might be developing an acute exacerbation of asthma. This adverse effect must be addressed immediately. The development of diarrhea and headaches is common with these medications. These medications are given by injection. It is common for someone other than the client to inject the medications.