During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

A. Social isolation related to feelings about appearance:

Social isolation refers to a state in which an individual lacks social interaction or feels disconnected from others. This can occur when individuals feel self-conscious or ashamed about their appearance and may withdraw from social situations as a result. In this scenario, the woman's feelings about her appearance may indeed lead to social isolation. However, while social isolation is a significant concern, it may not be the most immediate priority compared to addressing the woman's feelings of low self-esteem.

B. Ineffective peripheral tissue perfusion related to effects of disease on vasculature:

Ineffective peripheral tissue perfusion refers to inadequate blood flow to the peripheral tissues, which can lead to impaired tissue oxygenation and nutritional deficits. While PCOS can have metabolic and cardiovascular implications, such as insulin resistance and dyslipidemia, leading to potential vascular issues, there is no indication in the scenario provided that the woman is experiencing acute vascular compromise. Therefore, this nursing diagnosis is less relevant in this context.

C. Risk for suicide related to effects of condition and fluctuating hormone levels:

PCOS is associated with an increased risk of mental health issues, including depression and anxiety, which can contribute to an elevated risk of suicidal ideation or behavior. The woman's distress over the physical manifestations of PCOS and feelings of diminished femininity could certainly exacerbate such psychological issues. However, while suicide risk is a serious concern, there is no explicit indication in the scenario that the woman is actively expressing suicidal thoughts or behaviors. Therefore, while it's important to monitor for signs of depression and suicidal ideation, this nursing diagnosis may not be the most immediate priority at this stage.

D. Situational low self-esteem related to masculinization effects of the disease:

This nursing diagnosis addresses the woman's feelings of low self-esteem specifically related to the physical manifestations of PCOS, such as hirsutism, alopecia, breast atrophy, and increased muscle mass, which are affecting her sense of femininity and self-identity. Given her distress and negative perception of her appearance, addressing her low self-esteem and providing support and interventions to help improve her self-image would likely be the most immediate priority in her care.

A. Stability of the woman's emotional and psychological status:

Emotional and psychological well-being are undoubtedly important factors in pregnancy outcomes. However, in the context of gestational diabetes, while stress and psychological factors can influence overall health, including blood sugar levels, they are not the primary focus when discussing reducing complications associated with diabetes during pregnancy. While managing stress and promoting emotional stability are important aspects of prenatal care, they are not directly related to reducing complications specifically associated with gestational diabetes.

B. Reduction in retinopathy risk by frequent ophthalmologic evaluations:

Diabetic retinopathy is a complication of diabetes that affects the eyes and can lead to vision impairment or blindness if left untreated. While regular ophthalmologic evaluations are crucial for individuals with diabetes to monitor for retinopathy and other eye complications, this factor is not the most important in reducing complications associated with pregnancy and diabetes. Gestational diabetes primarily affects pregnancy outcomes, and while retinopathy risk is a concern in the long term for individuals with diabetes, it is not the primary focus during pregnancy.

C. Control of blood urea nitrogen (BUN) levels for optimal kidney function:

Blood urea nitrogen (BUN) levels are markers of kidney function, and kidney complications can be a concern in individuals with diabetes, including gestational diabetes. However, during pregnancy, the focus is primarily on controlling blood glucose levels to reduce complications associated with gestational diabetes. While kidney function is important and should be monitored in pregnant women with gestational diabetes, it is not the most crucial factor in reducing complications specifically related to pregnancy and diabetes.

D. Degree of blood glucose control achieved during the pregnancy:

This is the most important factor in reducing complications associated with pregnancy and gestational diabetes. Controlling blood glucose levels is paramount in managing gestational diabetes to reduce the risk of complications for both the mother and the baby. Tight glycemic control helps to minimize the risk of adverse outcomes such as macrosomia, birth trauma, preterm birth, and other complications associated with uncontrolled blood sugar levels during pregnancy.