A high school student asks the school nurse what can be done for menstrual cramps.What should the nurse recommend to this student who is experiencing primary dysmenorrhea? Select all that apply.

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A) Regular aerobic activity helps to decrease dysmenorrhea symptoms. Caffeine should be restricted to reduce irritability. Black cohosh helps reduce manifestations in some clients. Vitamin supplements should not be avoided and may be needed to help control symptoms. A heating pad helps reduce abdominal cramping and pain.
B) Regular aerobic activity helps to decrease dysmenorrhea symptoms. Caffeine should be restricted to reduce irritability. Black cohosh helps reduce manifestations in some clients. Vitamin supplements should not be avoided and may be needed to help control symptoms. A heating pad helps reduce abdominal cramping and pain.
C) Regular aerobic activity helps to decrease dysmenorrhea symptoms. Caffeine should be restricted to reduce irritability. Black cohosh helps reduce manifestations in some clients. Vitamin supplements should not be avoided and may be needed to help control symptoms. A heating pad helps reduce abdominal cramping and pain.
D) Regular aerobic activity helps to decrease dysmenorrhea symptoms. Caffeine should be restricted to reduce irritability. Black cohosh helps reduce manifestations in some clients. Vitamin supplements should not be avoided and may be needed to help control symptoms. A heating pad helps reduce abdominal cramping and pain.
E) Regular aerobic activity helps to decrease dysmenorrhea symptoms. Caffeine should be restricted to reduce irritability. Black cohosh helps reduce manifestations in some clients. Vitamin supplements should not be avoided and may be needed to help control symptoms. A heating pad helps reduce abdominal cramping and pain.

A High School Student Asks the School Nurse What Can