Author Question: The nurse is providing patient education about the application of transdermal estrogen. Which ... (Read 34 times)

joe · **on:** Jul 23, 2018

The nurse is providing patient education about the application of transdermal estrogen. Which statement made by the patient best demonstrates understanding of the application of this medication? I should apply this medication to my:

a. waistline.
b. abdomen.
c. breast.
d. posterior thigh.

Question 2

A postmenopausal patient who has had a hysterectomy and who has a family history of coronary heart disease reports experiencing vaginal dryness and pain with intercourse,

but tells the nurse that she doesn't want to take hormones because she is afraid of adverse effects. The nurse will suggest that the woman asks her provider about:
a. Depo Provera.
b. Estraderm.
c. low-dose estrogens.
d. Premarin vaginal.

Pariscourtney · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
The abdomen is the preferred site. The posterior thigh, waistline, and breast are not the preferred sites of application.

Answer to Question 2

ANS: D
Estrogens for intravaginal administration are used for local effects, primarily to treat vulval and vaginal atrophy. Because these preparations bypass the liver, the total dose is reduced and there is a lower risk of systemic effects. Depo Provera is a progesterone and is not indicated. Transdermal estrogen is used to treat hot flushes. Low-dose estrogens still have systemic effects.