The nurse is caring for a patient diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?
1. "I am having many hot flashes since I had the Lupron injection."
2. "The pain I experience with intercourse is becoming more severe."
3. "My leg has become painful and swollen since I started taking birth control pills."
4. "I've noticed my voice is lower since I started taking danazol."
3
Rationale 1: Hot flashes are expected, and not a complication.
Rationale 2: Dyspareunia is a common symptom of endometriosis, and therefore is not a complication.
Rationale 3: Combination oral contraceptive pills contain estrogen. A painful swollen lower extremity can be a sign of deep vein thrombosis, which can cause thromboembolus, which is potentially life-threatening. This is a complication, and must be addressed immediately.
Rationale 4: A lowered voice is one side effect of danazol. This patient is not experiencing a complication.
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