Author Question: A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor ... (Read 64 times)

erika · **on:** Jul 23, 2018

A 45-year-old woman who has not had a period for 15 months reports severe hot flashes and poor sleep. The nurse reviews information about hormone replacement therapy and tells this woman that hormone therapy

a. is very safe and may be used freely to treat menopausal symptoms.
b. may be used indefinitely to treat menopausal symptoms.
c. should be used at the lowest dose possible for less than 5 years.
d. will be necessary to prevent osteoporosis caused by estrogen depletion.

Question 2

A 45-year-old woman reports cessation of menses for the past 6 months and asks the nurse if she needs to continue using contraception. The nurse will tell her

a. that she may discontinue using contraception.
b. that she most likely has premature ovarian failure.
c. to begin hormone therapy to prevent menopausal symptoms.
d. to continue using contraception for at least 6 more months.

Jody Vaughn · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Women should use hormone therapy at the lowest dose possible for a period of less than 5 years. It carries risks for breast cancer and cardiovascular disease and cannot be used indefinitely. Hormone therapy can help slow osteoporosis, but it does not prevent osteoporosis and is not recommended for this use.

Answer to Question 2

ANS: D
Women should use contraception until menstruation has ceased for 1 year if they do not wish to become pregnant. Premature ovarian failure occurs when menstruation stops before age 40 years. It is not necessary to treat menopausal symptoms until they occur.