A nurse is caring for a client who has endometriosis and will receive depot injections of leuprolide. The client asks about the effects of this medication. Which of the following information should the nurse give the client?
Hair loss is common.
Vaginal secretions will increase.
Hot flashes are common.
Menstruation will become regular.
The Correct Answer is C
A. Hair loss is common: Hair loss is not a typical or common side effect of leuprolide therapy; the common effects relate to estrogen suppression.
B. Vaginal secretions will increase: Estrogen suppression from leuprolide usually causes vaginal dryness and decreased secretions rather than an increase.
C. Hot flashes are common: Leuprolide suppresses ovarian estrogen production, producing menopausal-like effects such as hot flashes and night sweats.
D. Menstruation will become regular: Menstruation usually becomes irregular and often stops (amenorrhea) with depot leuprolide due to ovarian suppression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Gloves should be worn when changing tampons: Wearing gloves is not necessary; good hand hygiene (washing hands before and after) is the recommended practice.
B. Super-absorbency tampons are effective for overnight absorption: Super-absorbency tampons increase risk of toxic shock syndrome when used for long periods; use the lowest absorbency needed and avoid prolonged/overnight use.
C. Tampons should be changed at least every 4 hours: Frequent changing (generally every 4–8 hours, with many guidelines emphasizing changing at least every 4 hours to reduce risk) helps lower the risk of toxic shock syndrome.
D. TSS can be prevented by using a pad for the first 2 days of menstrual flow: Using pads at times of heavy flow may reduce tampon exposure but there is no rule that using a pad for the first 2 days alone prevents TSS; overall measures include using lowest absorbency needed, changing regularly, and avoiding prolonged tampon use.
Correct Answer is B
Explanation
A. Cervical mucus facilitates movement of the ovum through the fallopian tube: Cervical mucus primarily affects sperm transport through the cervix and does not facilitate ovum movement through the fallopian tube.
B. Cervical mucus enhances the motility of the sperm: Around ovulation mucus becomes thin, clear, and stretchy, creating a hospitable medium that helps sperm survive and move toward the egg.
C. Cervical mucus provides vaginal lubrication during intercourse: Cervical mucus does contribute to lubrication, but the key fertility-related change at ovulation is enhanced sperm transport rather than lubrication alone.
D. Cervical mucus indicates endometrial readiness for implantation: Endometrial readiness is a separate process; cervical mucus characteristics reflect fertility status and sperm transport, not directly implantation readiness.
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