A client recently diagnosed with Polycystic Ovary Syndrome (PCOS) asks the nurse about potential complications.
What response by the nurse is accurate?
"There are no complications associated with PCOS.”
"PCOS can lead to an increased risk of type 2 diabetes and cardiovascular disease.”
"PCOS only affects the ovaries and does not impact other body systems.”
"PCOS is associated with a reduced risk of infertility.”
The Correct Answer is B
Choice B rationale:
PCOS is associated with several potential complications, including an increased risk of type 2 diabetes and cardiovascular disease.
Women with PCOS often have insulin resistance, which can lead to elevated blood sugar levels and, over time, an increased risk of developing diabetes.
Additionally, PCOS is linked to abnormal lipid profiles and obesity, further increasing the risk of cardiovascular disease.
Educating the patient about these potential complications is essential for early intervention and prevention.
Choice A rationale:
Stating that "there are no complications associated with PCOS" is incorrect.
PCOS is a complex condition that can have various health implications, as mentioned in Choice B.
Failing to inform the patient about potential complications could lead to inadequate monitoring and management of their health.
Choice C rationale:
PCOS does not only affect the ovaries; it has systemic effects on the body.
It can lead to hormonal imbalances, insulin resistance, and other metabolic disturbances that affect multiple body systems, including the endocrine and cardiovascular systems.
This statement is inaccurate as it downplays the seriousness of PCOS.
Choice D rationale:
PCOS is not associated with a reduced risk of infertility.
In fact, one of the hallmark features of PCOS is ovulatory dysfunction, which can lead to infertility or subfertility in affected individuals.
It is crucial to provide accurate information to patients regarding the potential impact of PCOS on fertility and available treatment options.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
Administering insulin injections.
Rationale: Administering insulin injections is not typically a nursing intervention for managing PCOS.
While some individuals with PCOS may have insulin resistance, the primary focus should be on lifestyle modifications and medications, such as metformin, rather than administering insulin injections.
Choice B rationale:
Monitoring medication adherence.
Rationale: Monitoring medication adherence is an essential nursing intervention for managing PCOS.
Many individuals with PCOS require medications such as birth control pills, metformin, or fertility treatments.
Ensuring that patients take their prescribed medications as directed is crucial for symptom management and preventing complications.
Choice C rationale:
Providing emotional support and counseling.
Rationale: Providing emotional support and counseling is a vital nursing intervention for managing PCOS.
PCOS can have significant emotional and psychological effects on individuals, including depression and anxiety.
Offering emotional support, counseling, and education can help patients cope with these emotional challenges and improve their overall well-being.
Choice D rationale:
Encouraging a sedentary lifestyle.
Rationale: Encouraging a sedentary lifestyle is not an appropriate nursing intervention for managing PCOS.
In fact, it is the opposite of what should be recommended.
Physical activity is important for managing weight, improving insulin sensitivity, and reducing the symptoms of PCOS.
Nurses should encourage a physically active lifestyle as part of PCOS management.
Choice E rationale:
Collaborating with other healthcare professionals.
Rationale: Collaborating with other healthcare professionals is an essential nursing intervention for managing PCOS.
PCOS is a complex condition that often requires input from various healthcare providers, including endocrinologists, gynecologists, dietitians, and mental health professionals.
Collaboration ensures comprehensive care and better outcomes for patients.
Correct Answer is C
Explanation
Choice A rationale:
Encouraging the client to start fertility treatments is not the priority for addressing mood swings and depression in a client with PCOS.
Fertility treatments may not address the emotional well-being of the client and may even add more stress and anxiety to their situation.
Choice B rationale:
Recommending an increase in the dosage of metformin is not the appropriate intervention for addressing mood swings and depression.
Metformin is primarily used to manage insulin resistance in PCOS and may not directly impact emotional well-being.
Choice C rationale:
Referring the client to a mental health professional for counseling is the most appropriate intervention in this scenario.
Mood swings and depression are common symptoms in individuals with PCOS, and addressing their emotional well-being is essential.
Counseling can help the client manage their emotional symptoms and develop coping strategies.
Choice D rationale:
Suggesting discontinuing all PCOS medications for emotional relief is not a safe or evidence-based approach.
Discontinuing medications prescribed for managing PCOS can worsen the client's overall health and may not effectively address their emotional well-being.
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