The nurse is providing care for a patient with dysfunctional uterine bleeding (DUB)
The nurse would reinforce teaching about which procedures as options for managing DUB? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Hysterectomy
2. Watchful waiting
3. Colposcopy
4. Hormonal agents
5. Dilatation and curettage
1,4,5
Rationale 1: Hysterectomy may be necessary, although it is generally the least desirable course of action.
Rationale 2: True dysfunctional uterine bleeding is a serious condition that may result in anemia. It may also be symptomatic of other disorders. Watchful waiting is not a primary treatment modality.
Rationale 3: Colposcopy is a test to evaluate the cells of the cervix. It would not be useful in the treatment of DUB.
Rationale 4: The patient may be given agents to correct hormonal imbalance.
Rationale 5: Intervention in dysfunctional uterine bleeding is focused on using the least invasive method that proves effective in relieving the symptoms. Dilatation and curettage is one common procedure used.
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