The nurse is planning care for a woman with premenstrual syndrome (PMS). On which problems should the nurse focus when planning this patient's care?
Select all that apply.
1. issues with self-esteem
2. problems managing acute pain
3. difficulty coping
4. potential problems with body image
5. sexual dysfunction
Correct Answer: 2, 3
With PMS women may have pain from headaches (migraines), menstrual cramps, excessive fluid retention, breast swelling, joint/muscle pain, and backache. Many women experience wide mood swings during episodes of PMS, sometimes exhibiting self-destructive or aggressive behaviors toward others. These mood swings can interfere with a woman's ability to manage her responsibilities at home or at work. Self-esteem, body image, and sexual dysfunction are not associated with PMS.
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