A 30-year-old patient reports increased irritability during the days preceding the onset of her menstrual cycle

Which measures might assist in the management of her irritability? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increase dietary sugar intake to promote energy.
2. Increase intake of simple carbohydrates.
3. Reduce caffeine.
4. Utilize guided imagery.
5. Drink one glass of red wine each evening.


3,4
Rationale 1: The diet can be modified to aid in the management of premenstrual syndrome. Reducing sugar intake is one modification.
Rationale 2: The diet can be modified to aid in the management of premenstrual syndrome. Reducing the intake of simple carbohydrates is one modification.
Rationale 3: A reduction in caffeine intake is indicated to reduce irritability.
Rationale 4: Guided imagery can be used to reduce stress and promote relaxation.
Rationale 5: The health benefits of red wine have been reported relating to cancer prevention, protection of the heart and brain, and reducing inflammation. Although the patient may find drinking wine relaxing, this course is not a priority in nursing care.

Nursing

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