Author Question: The client is pre-menopausal and asks the nurse if she should be taking hormone replacement therapy ... (Read 101 times)

dakota nelson · **on:** Jul 23, 2018

The client is pre-menopausal and asks the nurse if she should be taking hormone replacement therapy (HRT). What will the best plan by the nurse include?

1. Discuss alternative methods of dealing with pre-menopausal symptoms.
2. Schedule an appointment with the physician to begin hormone replacement therapy (HRT).
3. Determine if the client has risk factors that would contraindicate hormone replacement therapy (HRT).
4. Tell the client to schedule an appointment when she is having menopause.

Question 2

A client calls the clinic and tells the nurse she has nausea and breast tenderness and is afraid she might be pregnant. She is taking oral contraceptives and has taken them exactly as prescribed. What is the best response by the nurse?

1. Tell the client to purchase an at-home pregnancy test to determine pregnancy.
2. Tell the client to come in for an evaluation and to discuss birth control.
3. Tell the client that these symptoms are side effects of oral contraceptives.
4. Verify with the client that she has taken all her pills just as prescribed.

mariahkathleeen · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Hormone replacement therapy (HRT) is an option, but the client should have all available information in order to make an informed decision. The nurse should discuss alternate methods of dealing with pre-menopausal symptoms.
Rationale 2: The client should have information about alternate methods available prior to seeing the physician.
Rationale 3: The nurse does not need to assess risk factors for hormone replacement therapy (HRT) until the client has made the decision to receive it.
Rationale 4: The client is asking for assistance with pre- menopausal symptoms; she should not have to wait until menopause.

Answer to Question 2

Correct Answer: 3
Rationale 1: Telling the client to purchase an at-home pregnancy test will only increase her anxiety.
Rationale 2: There is no reason for the client to come in for an evaluation at this time.
Rationale 3: It is important for the nurse to educate the client about the side effects of oral contraceptives.
Rationale 4: Verifying how the pills were taken is unnecessary; the client said she took them as prescribed.