The client has been started in hormone replacement therapy with ...

[tiffannnnyyyyyy]

The client has been started in hormone replacement therapy with Menostar. The nurse is preparing a client instruction session on the medication and plans it with the knowledge that the drug is administered in the form of a:
 
  a. vaginal ring.
  b. matrix pouch.
  c. matrix patch.
  d. topical emulsion.

Question 2

The client tells the nurse that she has missed a dose of her progestin-only oral contraceptive. What is the most accurate instruction the nurse should provide?
 
  a. Take one tablet, discard missed tablet, continue schedule, but use secondary form of contraception until menses begin.
  b. Take two tablets daily for the next 2 days and resume regular schedule PLUS use a secondary form of contraception for the rest of the cycle.
  c. Take tablet as soon as realized and follow with next tablet at regular time PLUS use backup method of contraception for 48 hr.
  d. Start a new package of tablets 7 days after the last tablet was taken. Use another form of contraception until tablets have been taken for 7 consecutive days.

[smrerig]

Answer to Question 1

ANS: C
Menostar is administered as a once-weekly matrix patch.

Answer to Question 2

ANS: C
With progestin-only oral contraceptives, when the client misses a dose, she should take tablet as soon as realized and follow with next tablet at regular time PLUS use backup method of contraception for 48 hours.

[tiffannnnyyyyyy]

Excellent

[Joy Chen]

TYSM