A nurse is assessing a client with suspected Polycystic Ovary Syndrome (PCOS).
The client reports irregular menstrual cycles, excessive hair growth on the face and abdomen, acne, and difficulty losing weight.
Which of the following statements made by the nurse is appropriate for addressing the client's concerns?
"PCOS can cause mood swings and depression, but your other symptoms are unrelated.”
"It's common for women with PCOS to experience irregular periods and hirsutism.”
"You should consider fertility treatments like IVF to address your weight gain.”
"Metformin is the only medication that can help with PCOS-related symptoms.”
The Correct Answer is B
Choice B rationale:
This statement by the nurse is appropriate for addressing the client's concerns.
Irregular menstrual cycles and hirsutism (excessive hair growth on the face and abdomen) are common symptoms of PCOS.
Acknowledging these symptoms as typical for PCOS helps the client understand that her experiences are not uncommon and that there are management options available.
Choice A rationale:
Mood swings and depression can indeed be associated with PCOS due to hormonal imbalances and the emotional impact of living with a chronic condition.
However, dismissing the client's other symptoms as unrelated is not accurate or helpful.
It's important to address all relevant symptoms and their potential connection to PCOS.
Choice C rationale:
Recommending fertility treatments like in vitro fertilization (IVF) solely to address weight gain is not appropriate for a client with suspected PCOS.
While fertility treatments may be considered for individuals with PCOS who are struggling with infertility, it is not the primary intervention for managing weight gain or other PCOS-related symptoms.
Choice D rationale:
Metformin is a medication that can be used to help manage PCOS-related symptoms, particularly in cases of insulin resistance.
However, it is not the only medication available, and its use should be determined on a case-by-case basis.
Additionally, metformin alone may not address all the client's symptoms.
The nurse should discuss a comprehensive treatment plan that may include lifestyle modifications, other medications, and, if necessary, fertility treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Monitor blood pressure and assess for signs of metabolic syndrome.
C. Conduct a glucose tolerance test to evaluate insulin resistance.
D. Obtain a detailed medical history, including menstrual patterns and family history of PCOS.
Choice A rationale:
Monitoring blood pressure and assessing for signs of metabolic syndrome are appropriate because PCOS is associated with an increased risk of metabolic disturbances such as hypertension, dyslipidemia, and insulin resistance.
Regular monitoring can help identify and manage these risks.
Choice B rationale:
This statement is not relevant to the assessment of PCOS.
Sleep disturbances are not typically considered a primary symptom or risk factor for PCOS.
Choice C rationale:
Conducting a glucose tolerance test to evaluate insulin resistance is appropriate for PCOS assessment.
Insulin resistance is a common feature of PCOS, and early detection allows for interventions to manage it effectively.
Choice D rationale:
Obtaining a detailed medical history, including menstrual patterns and family history of PCOS, is essential for assessing the client's condition and identifying potential risk factors and genetic predispositions.
This information helps guide the diagnosis and treatment plan.
Choice E rationale:
Prescribing oral contraceptives as the primary treatment for PCOS is not an appropriate assessment or intervention.
While oral contraceptives may be part of the treatment plan, they should be prescribed by a healthcare provider based on the client's specific needs and goals.
Correct Answer is C
Explanation
Choice A rationale:
"PCOS is caused by excessive follicle-stimulating hormone (FSH) levels." This statement is not accurate.
PCOS is characterized by an imbalance in the ratio of luteinizing hormone (LH) to follicle-stimulating hormone (FSH), with LH often being elevated compared to FSH.
Excessive FSH levels are not a primary cause of PCOS.
Choice B rationale:
"Insulin resistance has no impact on the hormonal imbalance in PCOS." This statement is incorrect.
Insulin resistance is a significant contributor to the hormonal imbalance seen in PCOS.
Insulin resistance can lead to hyperinsulinemia, which in turn can stimulate the ovaries to produce more androgens (male hormones).
These elevated androgen levels disrupt normal ovulation and contribute to the formation of ovarian cysts, which are key features of PCOS.
Choice C rationale:
"Elevated androgens disrupt normal ovulation and contribute to cyst formation." This statement is correct.
Elevated androgens (such as testosterone) are a hallmark of PCOS and are associated with the disruption of normal ovulation and the development of cysts in the ovaries.
These hormonal imbalances are central to the pathogenesis of PCOS.
Choice D rationale:
"PCOS is primarily related to a deficiency of luteinizing hormone (LH)." This statement is not accurate.
PCOS is not primarily related to a deficiency of LH but rather to an elevated LH-to-FSH ratio, as mentioned earlier.
The hormonal dysregulation in PCOS involves an excess of LH relative to FSH.
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