A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

Antiestrogens

Progestins

Gonadotropin-releasing hormone analogues

NSAIDs

Answer and Explanation

The Correct Answer is B

Choice A reason: Antiestrogens are not a first-line treatment for endometriosis, as they can cause severe side effects such as bone loss, hot flashes, and vaginal dryness.

Choice B reason: Progestins are a first-line treatment for endometriosis, as they can suppress the growth of endometrial tissue and reduce pain and bleeding.

Choice C reason: Gonadotropin-releasing hormone analogues are a second-line treatment for endometriosis, as they can induce temporary menopause and cause bone loss, hot flashes, and mood changes.

Choice D reason: NSAIDs are not a treatment for endometriosis, as they can only provide symptomatic relief for pain and inflammation.

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Correct Answer is B

Explanation

Choice A reason: Danazol is a synthetic androgen that can be used to treat fibrocystic breast disease, as it can reduce estrogen levels and shrink breast tissue.

Choice B reason: Penicillin is an antibiotic that has no effect on fibrocystic breast disease, as it does not target hormonal or cellular changes in the breast.

Choice C reason: Bromocriptine is a dopamine agonist that can be used to treat fibrocystic breast disease, as it can lower prolactin levels and reduce breast tenderness.

Choice D reason: Tamoxifen is an antiestrogen that can be used to treat fibrocystic breast disease, as it can block estrogen receptors and inhibit breast cell growth.

A. Increased vaginal discharge B. Urinary tract infection C. Vaginitis D. Vaginal ulceration

Correct Answer is D

Explanation

Choice A reason: Increased vaginal discharge is a normal and expected outcome of using a pessary, as it helps to lubricate and cleanse the vagina.

Choice B reason: Urinary tract infection is not a common side effect of using a pessary, as it does not interfere with urination or introduce bacteria into the urinary tract.

Choice C reason: Vaginitis is not a common side effect of using a pessary, as it does not cause inflammation or infection of the vagina. However, the client should maintain good hygiene and use vaginal cream or gel as prescribed to prevent irritation.

Choice D reason: Vaginal ulceration is a serious and possible side effect of using a pessary, as it can cause pressure necrosis and erosion of the vaginal mucosa. The client should report any bleeding, pain, or foul-smelling discharge to the provider and have the pessary removed and replaced regularly.

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A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a woman who has been diagnosed with severe fibrocystic breast disease. After describing the medications that can be used as treatment, the nurse determines that additional teaching is needed when the client identifies which drug is being used.

Correct Answer is B

Explanation

A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?

Correct Answer is D

Explanation

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