Author Question: A client recovering from a hysterectomy does not want to take the prescribed estrogen replacement ... (Read 29 times)

Pineapplelove6 · **on:** Jun 25, 2018

A client recovering from a hysterectomy does not want to take the prescribed estrogen replacement therapy because of the fear of developing breast cancer. Which response by the nurse is the most appropriate?

A) The risk of breast cancer is slightly increased for women who opt to take estrogen replacement therapy.
B) Perhaps you should consider an estrogen-progestin combination therapy.
C) The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications.
D) Taking estrogen replacement is required after a hysterectomy.

Question 2

The nurse is teaching a 34-year-old client with client who has a sister and mother with a history of breast cancer about early screening for the health problem. Which should the nurse include in this teaching?

Select all that apply.
A) Routine monthly breast self-examination
B) Annual screening mammography
C) Routine breast exams to begin after age 35
D) Clinical breast examination every 3 years
E) Reporting of any changes in breast tissue to the health provider at the next routine visit

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

Answer to Question 1

Answer: C

The risk for the development of breast cancer is not greater for women who take estrogen replacement therapy after undergoing a hysterectomy. Progestin therapies are not used for women who are in surgical menopause. Further, it is inappropriate for the nurse to make suggestions of a prescriptive nature, as it violates the scope of practice. While it is not mandatory for the client to take estrogen replacement therapy after surgery, the nurse should clarify and correct misconceptions of the client. Estrogen replacement therapy is not associated with breast cancer for women who have undergone a hysterectomy. Taking estrogen after a hysterectomy is optional, not required.

Answer to Question 2

Answer: A, B, D
American Cancer Society guidelines for cancer screening include routine breast self-examination starting at age 20; prompt reporting of any change in breast tissue to healthcare provider; clinical breast examination every 3 years from ages 20 to 39, and yearly thereafter; and annual screening mammography starting at age 40, except in women at increased risk, who may have more frequent mammography or other tests such as breast ultrasound exams. Since this client's mother and sister both have a history of breast cancer, she would be eligible for annual mammography.