A nurse is planning the assessment of a client with suspected Polycystic Ovary Syndrome (PCOS).
Which assessments and interventions are appropriate in the care of this client?
Monitor blood pressure and assess for signs of metabolic syndrome.
Perform a physical examination to assess for signs of sleep disturbances.
Conduct a glucose tolerance test to evaluate insulin resistance.
Obtain a detailed medical history, including menstrual patterns and family history of PCOS.
Prescribe oral contraceptives as the primary treatment for PCOS.
Correct Answer : A,C,D
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A rationale:
Administering insulin injections.
Rationale: Administering insulin injections is not typically a nursing intervention for managing PCOS.
While some individuals with PCOS may have insulin resistance, the primary focus should be on lifestyle modifications and medications, such as metformin, rather than administering insulin injections.
Choice B rationale:
Monitoring medication adherence.
Rationale: Monitoring medication adherence is an essential nursing intervention for managing PCOS.
Many individuals with PCOS require medications such as birth control pills, metformin, or fertility treatments.
Ensuring that patients take their prescribed medications as directed is crucial for symptom management and preventing complications.
Choice C rationale:
Providing emotional support and counseling.
Rationale: Providing emotional support and counseling is a vital nursing intervention for managing PCOS.
PCOS can have significant emotional and psychological effects on individuals, including depression and anxiety.
Offering emotional support, counseling, and education can help patients cope with these emotional challenges and improve their overall well-being.
Choice D rationale:
Encouraging a sedentary lifestyle.
Rationale: Encouraging a sedentary lifestyle is not an appropriate nursing intervention for managing PCOS.
In fact, it is the opposite of what should be recommended.
Physical activity is important for managing weight, improving insulin sensitivity, and reducing the symptoms of PCOS.
Nurses should encourage a physically active lifestyle as part of PCOS management.
Choice E rationale:
Collaborating with other healthcare professionals.
Rationale: Collaborating with other healthcare professionals is an essential nursing intervention for managing PCOS.
PCOS is a complex condition that often requires input from various healthcare providers, including endocrinologists, gynecologists, dietitians, and mental health professionals.
Collaboration ensures comprehensive care and better outcomes for patients.
Correct Answer is A
Explanation
Choice A rationale:
This statement is accurate and provides essential information to the client.
Lifestyle modifications, including regular exercise and a balanced diet, are cornerstone strategies for managing PCOS.
Exercise can improve insulin sensitivity, reduce androgen levels, and support weight management.
A balanced diet can help regulate blood sugar levels and aid in weight management, which is crucial for many clients with PCOS.
Choice B rationale:
This statement is incorrect and misleading.
Weight gain and difficulty losing weight are often associated with PCOS due to insulin resistance and hormonal imbalances.
Suggesting that no dietary changes are needed can be detrimental to the client's health.
Choice C rationale:
Advising the client to avoid all carbohydrates is not appropriate.
While it's essential to manage carbohydrate intake, completely avoiding all carbohydrates is neither practical nor necessary.
The focus should be on choosing complex carbohydrates with a low glycemic index and maintaining a balanced diet.
Choice D rationale:
PCOS management typically includes a combination of lifestyle modifications and, in some cases, medication.
Suggesting that exercise and diet changes are unnecessary oversimplifies the treatment approach and may not adequately address the client's needs.
It's crucial to emphasize the importance of a holistic approach to PCOS management.
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