A 25-year-old female is diagnosed with endometriosis. The nurse works with the patient to achieve which desired outcomes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

Question

1. The patient reports no further nausea or vomiting.
2. The patient's menstrual cycle extends to 28 days.
3. Menstrual discomfort does not interfere with activities of daily living.
4. The patient agrees to early hysterectomy for definitive treatment.
5. The patient reports fewer incidents of bladder incontinence.

Answer 1

2,3
Rationale 1: Nausea and vomiting are not common manifestations of endometriosis.
Rationale 2: Patients with endometriosis often have menstrual cycles shorter than the normal 28 days, leading to greater blood loss over time. A therapeutic goal is to lengthen this cycle.
Rationale 3: Patients with endometriosis often experience severe menstrual discomfort that can be debilitating. A goal is to reduce this discomfort to a manageable level.
Rationale 4: Hysterectomy is reserved for extreme cases.
Rationale 5: Bladder incontinence is not a manifestation of endometriosis.