This topic contains a solution. Click here to go to the answer

Author Question: A 55-year-old woman has not had menstrual periods for 5 years and tells the primary care nurse ... (Read 72 times)

WWatsford

  • Hero Member
  • *****
  • Posts: 539
    • Biology Forums!
A 55-year-old woman has not had menstrual periods for 5 years and tells the primary care nurse practitioner (NP) that she is having increasingly frequent vasomotor symptoms.
 
  She has no family history or risk factors for coronary heart disease (CHD) or breast cancer but is concerned about these side effects of hormone therapy (HT). The NP should: a. tell her that starting HT now may reduce her risk of breast cancer.
  b. advise a short course of HT now that may decrease her risk for CHD.
  c. tell her that HT will not help control her symptoms during postmenopause.
  d. recommend herbal supplements for her symptoms to avoid HT side effects.

Question 2

A 70-year-old patient has low back pain and will begin taking metaxalone (Skelaxin). The primary care NP should counsel this patient to:
 
  a. drink extra fluids.
  b. avoid taking NSAIDs.
  c. get up from a chair slowly.
  d. take care to avoid slips and falls.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Ksanderson1296

  • Sr. Member
  • ****
  • Posts: 339
Answer to Question 1

A
The current gap hypothesis regarding breast cancer supports initiating HT 5 years or more after menopause. To decrease risk for CHD, HT should begin at the time of menopause. HT will relieve vasomotor symptoms at all stages of menopause. Herbal supplements have estrogenizing effects and carry the same risks as estrogen therapy.

Answer to Question 2

D
Use of any muscle relaxant puts elderly patients at risk for falls, so patients should be advised to take precautions. It is not necessary to increase fluids or avoid NSAIDs. This drug does not have hypotensive effects, so it is not necessary to provide the caution to rise out of chairs slowly.




WWatsford

  • Member
  • Posts: 539
Reply 2 on: Jul 24, 2018
:D TYSM


olderstudent

  • Member
  • Posts: 339
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

For a complete list of videos, visit our video library