A 28-year-old client is diagnosed with endometriosis and is experiencing severe symptoms. Which actions by the nurse are the most appropriate at this time? (Select all that apply.)
a. Reduce the pain by low-level heat.
b. Discuss the high risk of infertility with this diagnosis.
c. Relieve anxiety by relaxation techniques and education.
d. Discuss in detail the side effects of laparoscopic surgery.
e. Suggest resources such as the Endometriosis Association.
ANS: A, C, E
With endometriosis, pain is the predominant symptom, with anxiety occurring because of the diagnosis. Interventions should be directed to pain and anxiety relief, such as low-level heat, relaxation techniques, and education about the pathophysiology and possible treatment of endometriosis. The nurse could suggest resources to give more information about the diagnosis. Discussion of the possibility of infertility and side effects of laparoscopic surgery is premature and may increase the anxiety.
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