A client who is diagnosed with premenstrual syndrome is ordered a gonadotropin-releasing hormone (GnRH). Which is a priority teaching item in the use of this drug?
A) Maintain a menstrual diary
B) Reduce sugar intake
C) Eat 6 small meals daily
D) Increase calcium and vitamin D intake
D
Feedback:
The client who takes a GnRH analog may experience loss of bone density similar to osteoporosis and should increase calcium and vitamin D intake by eating calcium rich foods or by taking supplements. A menstrual diary is helpful in diagnosing PMS and determining effectiveness of treatment. Reduction of sugar intake and eating 6 small meals daily are helpful in the management of PMS but not significant with GnRH treatment.
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