A 50-year-old patient is diagnosed with uterine bleeding caused by a leiomyoma. Which information will the nurse include in the patient teaching plan?
a. The symptoms may decrease after the patient undergoes menopause.
b. The tumor size is likely to increase throughout the patient's lifetime.
c. Aspirin or acetaminophen may be used to control mild to moderate pain.
d. The patient will need frequent monitoring to detect any malignant changes.
ANS: A
Leiomyomas appear to depend on ovarian hormones and will atrophy after menopause, leading to a decrease in symptoms. Aspirin use is discouraged because the antiplatelet effects may lead to heavier uterine bleeding. The size of the tumor will shrink after menopause. Leiomyomas are benign tumors that do not undergo malignant changes.
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