The nurse manages care for several clients receiving hormone ...

[lbcchick]

The nurse manages care for several clients receiving hormone replacement therapy (HRT). What will the priority assessment by the nurse include as related to side effects?
 
  1. Pain in the calf
  2. Decreased libido
  3. Low-back pain
  4. Chronic fatigue

Question 2

A client comes to the women's center and tells the nurse she has had unprotected sex. She asks for emergency contraception. What is the best assessment question for the nurse to ask?
 
  1. How long ago did you have unprotected sex?
  2. Did you use a condom?
  3. What kind of birth control have you used in the past?
  4. Where are you in your monthly cycle?

[kaillie]

Answer to Question 1

Correct Answer: 1
Rationale 1: Hormone replacement therapy puts the client at risk for thrombophlebitis. The nurse should always assess for calf pain and other symptoms of thrombophlebitis.
Rationale 2: Decreased libido is a side effect of hormone replacement therapy (HRT), but is not as high a priority as assessing the pain in the calf.
Rationale 3: Low-back pain is nonspecific and does not apply to hormone replacement therapy (HRT).
Rationale 4: Chronic fatigue could be a side effect of hormone replacement therapy (HRT), but it is nonspecific and could result from many other causes.

Answer to Question 2

Correct Answer: 1
Rationale 1: Choice of emergency contraceptive is guided in some ways by the amount of time since unprotected sex.
Rationale 2: A condom is important to help prevent STDs, but will not affect emergency contraception timeframes, and the client said she had unprotected sex.
Rationale 3: Prior methods of birth control are not an issue here.
Rationale 4: Where the client is in her monthly cycle is not an issue here.

[lbcchick]

Gracias!

[rachel]

Excellent