A patient diagnosed with polycystic ovarian disease (PCOS) asks her nurse why her treatment regimen includes spironolactone (Aldactone). How should the nurse respond?
1. "Spironolactone may be used to decrease symptoms associated with PCOS, such as excessive hair growth and acne."
2. "Menstrual irregularities related to polycystic ovarian disease are treated using spironolactone."
3. "Spironolactone is often used to reduce complications associated with PCOS, including rectocele."
4. "Condylomata acuminata, which are sometimes caused by polycystic ovarian disease, are treated with spironolactone."
Correct Answer: 1
Rationale 1: Spironolactone may be used to treat symptoms of hyperandrogenism that are secondary to PCOS, including excessive hair growth and acne.
Rationale 2: Combined oral contraceptive (COC) or cyclic progesterone are used to treat menstrual irregularities associated with PCOS.
Rationale 3: A rectocele, which may develop when the posterior vaginal wall is weakened, is associated with pelvic relaxation.
Rationale 4: Condylomata acuminata, also called genital or venereal warts, is a sexually transmitted condition unrelated to PCOS.
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