A 28-year-old patient with endometriosis asks why she is being treated with medroxyprogesterone (Depo-Provera), a medication that she thought was an oral contraceptive. The nurse explains that this therapy
a. suppresses the menstrual cycle by mimicking pregnancy.
b. will relieve symptoms such as vaginal atrophy and hot flashes.
c. prevents a pregnancy that could worsen the menstrual bleeding.
d. will lead to permanent suppression of abnormal endometrial tissues.
ANS: A
Depo-Provera induces a pseudopregnancy, which suppresses ovulation and causes shrinkage of endometrial tissue. Menstrual bleeding does not occur during pregnancy. Vaginal atrophy and hot flashes are caused by synthetic androgens such as danazol or gonadotropin-releasing hormone agonists (GNRH) such as leuprolide. Although hormonal therapies will control endometriosis while the therapy is used, endometriosis will recur once the menstrual cycle is reestablished.
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When using assessment equipment that will touch the client, what should the nurse do before conducting the assessment?
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The nurse explains to the nursing students that the adrenal cortex makes three types of steroid compounds from cholesterol: mineralocorticoids, glucocorticoids, and sex hormones
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