A woman presents to the family practice clinic complaining of abdominal pain, pain during ovulation, and heavy periods. What action by the nurse is best?
A.
Facilitate a vaginal ultrasound.
B.
Obtain consent for a laparoscopy.
C.
Prepare the woman for a pelvic exam.
D.
Provide education on ibuprofen (Motrin).
ANS: C
This woman has manifestations of endometriosis. Diagnosis can be made via a pelvic exam, although it is often difficult to do so. Some physicians will order ultrasounds or laparoscopy with biopsy. The first step, however, is the pelvic exam, so the nurse should prepare the woman for this to occur. After making a diagnosis of endometriosis, the nurse can educate the woman on medical management, which includes using ibuprofen for pain.
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