A couple has come to the infertility clinic because they have been unable to get pregnant. Whichdiagnostic test is planned to determine if ovulation is regular and when to time implantation?

Endometriosis is a condition in which tissue like the lining of the uterus grows outside of the uterus, causing pain and discomfort. Acute pain is a common symptom of endometriosis and can be severe enough to interfere with daily activities and quality of life. Therefore, pain management should be a priority in the care of clients with endometriosis.

While anxiety related to risk of transmission (option a) and excess fluid volume related to abdominal distention (option d) may also be concerns for some clients with endometriosis, they are generally not the most urgent priorities. Ineffective tissue perfusion related to hemorrhage (option c) may be a concern in rare cases of severe endometriosis, but it is not a common or typical complication.

After a radical mastectomy and axillary node dissection, the client may experience swelling and discomfort in the affected arm, known as lymphedema. Lifting heavy objects with the affected arm can worsen the swelling and increase the risk of developing lymphedema. Therefore, it is important for the client to avoid lifting heavy objects with the affected arm and to limit activity that could cause strain or injury to the arm. However, gentle exercise and movement of the arm can help improve circulation and reduce the risk of lymphedema. Using a sling is not typically necessary after this type of surgery, and keeping cuticles clipped neatly is not directly related to post-operative care for a mastectomy and axillary node dissection.