A healthy-appearing 68-year-old woman is in the clinic for a ...

[segrsyd]

A healthy-appearing 68-year-old woman is in the clinic for a physical exam. Her laboratory work shows decreased levels of high-density lipoprotein (HDL) cholesterol and increased levels of low-density lipoprotein (LDL) cholesterol. What conclusion can the
 
  A.
  Eats an unhealthy diet
  B.
  At risk for long-bone fractures
  C.
  Increased cardiovascular risk
  D.
  Probably does not exercise

Question 2

A woman in the clinic complains of severe hot flashes associated with perimenopause. Her past medical history includes deep vein thrombosis (DVT) 10 years ago. The nurse can anticipate teaching the woman about what treatment?
 
  A.
  A trial of a selective serotonin reuptake inhibitor
  B.
  A trial of the anticonvulsant phenytoin (Dilantin)
  C.
  Hormone replacement with estrogen only
  D.
  Hormone replacement with estrogen-progestin

[morrie123456]

Answer to Question 1

ANS: C
Decreased estrogen in a woman's later years accompanied by low HDL and high LDL cholesterol levels increases the risk of cardiovascular disease. The nurse cannot conclude anything about the patient's exercise or eating habits without further assessment. Older women are at risk of fractures due to osteoporosis, but that is not related to these laboratory values.

Answer to Question 2

ANS: A
Selective serotonin reuptake inhibitors, such as fluoxetine (Prozac), citalopram (Celexa), and sertraline (Zoloft), have been used to reduce vasomotor symptoms such as hot flashes. The anticonvulsant gabapentin (Neurontin) has also been used. This woman is not a candidate for estrogen-only hormone replacement therapy for two reasons: she has not had a hysterectomy and she has a history of DVT. She is not a candidate for estrogen-progestin therapy because of her previous history of DVT.

[segrsyd]

TYSM

[ttt030911]

Gracias!