A client with Endometriosis is discussing treatment options with the nurse.
The client is concerned about managing the pain associated with the condition.
Which statement by the client should the nurse address?
"I heard that laparoscopy is the only effective treatment for pain relief.”
"I'm not interested in hormonal therapies, so there are no options for me.”
"NSAIDs can help with pain management, but I worry about their side effects.”
"Aromatase inhibitors are the best choice for treating pain in Endometriosis.”
The Correct Answer is A
Choice A rationale:
The nurse should address the client's statement, "I heard that laparoscopy is the only effective treatment for pain relief." because it is essential to provide accurate information regarding treatment options for endometriosis.
Laparoscopy is a common diagnostic procedure used to confirm the presence of endometriosis, but it is not the only treatment option for pain relief.
The rationale behind this choice is to educate the client about various treatment modalities, including medical management and surgical interventions, so they can make an informed decision about their care.
Choice B rationale:
The client's statement, "I'm not interested in hormonal therapies, so there are no options for me," is not accurate.
While hormonal therapies are one option for managing endometriosis-related pain, there are alternative treatments available for individuals who do not wish to pursue hormonal interventions.
These alternatives can include non-hormonal medications, lifestyle modifications, and surgical options.
Therefore, this statement does not require immediate addressing.
Choice C rationale:
The client's statement, "NSAIDs can help with pain management, but I worry about their side effects," reflects a valid concern that the nurse should acknowledge and address.
Nonsteroidal anti-inflammatory drugs (NSAIDs) can be effective in managing pain associated with endometriosis, but they do have potential side effects, such as gastrointestinal irritation and renal issues.
The nurse should discuss the benefits and risks of NSAID use with the client and provide guidance on minimizing potential side effects.
Therefore, this statement should be addressed, but it is not the most critical concern.
Choice D rationale:
The client's statement, "Aromatase inhibitors are the best choice for treating pain in endometriosis," is not accurate.
While aromatase inhibitors may be considered in some cases, they are not typically the first-line treatment for endometriosis-related pain.
Addressing this statement would involve providing information about the various treatment options available and their appropriate use, emphasizing that the choice of treatment depends on individual factors and the severity of symptoms.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Encouraging the patient to avoid physical activity is not an appropriate intervention for managing pelvic pain in endometriosis.
In fact, some physical activity, such as gentle exercise and stretching, can be beneficial in relieving pain and maintaining muscle tone.
Complete inactivity can lead to muscle stiffness and worsen discomfort.
Choice B rationale:
Administering a high-dose antibiotic is not appropriate for managing endometriosis-related pelvic pain because endometriosis is not caused by an infection.
It is a chronic inflammatory condition, and antibiotics do not target the underlying cause of the pain.
Choice D rationale:
Advising the patient to consume caffeine to alleviate pelvic pain is not a suitable intervention.
Caffeine can potentially worsen pelvic pain in some individuals as it can cause increased muscle tension and irritation.
It is not a recommended pain management strategy for endometriosis-related pain.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Dyspareunia (painful intercourse) is a common symptom of endometriosis and should be included in the discussion of potential symptoms.
It is important for clients to recognize this symptom, as it can significantly impact their quality of life and may be an indication of the condition.
Choice B rationale:
Fatigue is a symptom that some individuals with endometriosis may experience, but it is not as specific to the condition as other symptoms.
Fatigue can result from various causes, and its presence alone may not lead to a diagnosis of endometriosis.
Therefore, while fatigue can be mentioned, it is not as crucial to include in the discussion compared to other more specific symptoms.
Choice C rationale:
Palpable nodules (endometriotic nodules) are a characteristic finding in endometriosis and should be included in the discussion.
These nodules can be felt during a pelvic examination and are a significant clinical sign used in the diagnosis of the condition.
Choice D rationale:
A retroverted uterus (a uterus tilted backward) is not a direct symptom of endometriosis, but it is a finding that the nurse should be attentive to during the physical examination.
While it is not specific to endometriosis, it can provide valuable information about the patient's pelvic anatomy, which may be relevant to the assessment and diagnosis of endometriosis.
Choice E rationale:
Frequent urination is a symptom that can be associated with endometriosis, especially if endometriotic lesions affect the bladder or pelvic area.
Including this symptom in the discussion helps raise awareness among clients about the potential varied presentations of the condition.
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