Author Question: A nursing working in an outpatient women's health clinic is caring for a client in menopause. When ... (Read 81 times)

luvbio · **on:** Jun 25, 2018

A nursing working in an outpatient women's health clinic is caring for a client in menopause. When discussing hormone replacement therapy (HRT) with the client, the nurse should include which statement?

A) Most healthy, recently menopausal women should not use HRT for relief of hot flashes and vaginal dryness.
B) HRT is the least effective treatment of menopausal hot flashes and vaginal dryness.
C) If vaginal dryness and painful intercourse are the only symptoms, then low-dose vaginal estrogen is preferred.
D) The risk of blood clots in the legs or lungs is further increased by using transdermal patches, gels, or sprays.

Question 2

A client plans to use oral contraceptives for birth control. Which client behavior would cause the nurse the most concern?

A) The client has several sexual partners.
B) The client is being treated for bipolar disorder.
C) The client smokes one-half pack of cigarettes a day.
D) The client drinks two glasses of wine a day.

whitcassie · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

If vaginal dryness and dyspareunia (painful intercourse) are the only symptoms, then low-dose vaginal estrogen is preferred. Most healthy, recently menopausal women may use HRT for relief of hot flashes and vaginal dryness. Risks for blood clots in the legs and lungs are increased with HRT, but occurrence is rare in women age 50-59. The risk is further lowered by using low-dose estrogen pills or transdermal patches, gels, or sprays.

Answer to Question 2

Answer: C

Cigarette smoking while taking oral contraceptives increases the client's risk for a thrombolytic disorder. Drinking two glasses of wine a day is not a contraindication to the use of oral contraceptives. Having several sexual partners or being treated for bipolar disorder is not a contraindication to the use of oral contraceptives.