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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Related Questions
Correct Answer is D
Explanation
A. "You need to return in 6 months for retesting.": Routine retesting to detect reinfection is generally recommended about 3 months after treatment rather than waiting 6 months.
B. "You have to avoid sexual relations for 3 days.": Abstain from sexual activity until treatment is completed and partners have been treated; for single-dose therapy this is 7 days, and for multi-day regimens abstinence is until the full course is finished.
C. "If your sexual partner has no symptoms, no medication is needed.": Sexual partners should be treated regardless of symptoms to prevent reinfection and ongoing transmission; partner treatment is a key part of management.
D. "This infection is treated with one dose of azithromycin.": Single-dose azithromycin (1 g orally) is an established treatment option and is commonly taught as a standard regimen for uncomplicated chlamydial infection.
Correct Answer is C
Explanation
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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