A nurse is assessing a patient with Polycystic Ovary Syndrome (PCOS).
Which clinical presentations are commonly associated with PCOS? Select all that apply.
Regular menstrual cycles.
Hirsutism.
Infertility.
Acne.
Decreased levels of luteinizing hormone (LH).
Correct Answer : B,C,D
Choice A rationale:
"Regular menstrual cycles." This statement is not typically associated with PCOS.
Women with PCOS often experience irregular menstrual cycles or even amenorrhea (lack of menstruation).
Irregular ovulation is a common feature of PCOS.
Choice B rationale:
"Hirsutism." This statement is correct.
Hirsutism, the growth of excess facial and body hair in a male pattern, is a common clinical presentation in individuals with PCOS.
It is due to elevated levels of androgens (male hormones) in PCOS.
Choice C rationale:
"Infertility." This statement is correct.
Infertility is a common issue for women with PCOS.
The hormonal imbalances and irregular ovulation associated with PCOS can make it challenging for affected individuals to conceive.
Choice D rationale:
"Acne." This statement is correct.
Acne is a common dermatological manifestation of PCOS.
Elevated androgen levels can lead to increased sebum production and acne development.
Choice E rationale:
"Decreased levels of luteinizing hormone (LH)." This statement is not associated with PCOS.
As mentioned earlier, PCOS is characterized by an elevated LH-to-FSH ratio, not decreased LH levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect.
BPH is not primarily caused by an excess of estrogen.
While hormonal changes are involved, it is the increase in dihydrotestosterone (DHT), a derivative of testosterone, that leads to prostate tissue overgrowth.
Choice B rationale:
This statement is incorrect.
The prostate gland in BPH does not shrink but rather enlarges, leading to urinary symptoms.
Choice C rationale:
This is the correct answer.
BPH is caused by hormonal changes, particularly an increase in dihydrotestosterone (DHT), which leads to prostate tissue overgrowth.
Choice D rationale:
This statement is incorrect.
BPH is not caused by an infection in the urinary tract.
While urinary tract infections (UTIs) can cause similar symptoms, they are not the underlying cause of BPH.
Correct Answer is B
Explanation
Choice A rationale:
Respiratory distress is not a typical complication of Benign Prostatic Hyperplasia (BPH).
BPH primarily affects the urinary system by obstructing the urethra due to prostate enlargement, leading to urinary symptoms.
Respiratory distress is not directly related to this condition.
Choice C rationale:
Elevated blood pressure is not a common complication of BPH.
BPH primarily affects the urinary system and does not directly impact blood pressure regulation.
Choice D rationale:
Decreased appetite is not a known complication of BPH.
BPH primarily affects the urinary system, causing urinary symptoms, and is not associated with changes in appetite.
Choice B rationale:
Acute urinary retention is a potential complication that the nurse should monitor for in a client with BPH.
When the prostate gland becomes significantly enlarged, it can obstruct the urethra, leading to a sudden inability to urinate.
This condition, known as acute urinary retention, can be painful and requires immediate medical intervention.
Therefore, the nurse should closely monitor the client for signs and symptoms of acute urinary retention, such as severe lower abdominal pain and the inability to pass urine.
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