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