Which statement by a menopausal client reflects an advantage of ...

[lb_gilbert]

Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT)?
 
  1. I have a lower chance of developing breast cancer while I am taking this medication.
  2. This medication protects me from uterine cancer.
  3. I am protected from developing Alzheimer disease because I am taking this medication.
  4. I have a lower chance of having a heart attack until I turn 60.

Question 2

Which client would benefit most from using hormone replacement therapy (HRT)?
 
  1. The client who is unable to sleep because of continual hot flashes and night sweats
  2. The client who finds sexual intercourse painful
  3. The client who wants to prevent osteoporosis
  4. The client who has a family history of colorectal cancer

[kristenb95]

Answer to Question 1

Correct Answer: 4
Rationale 1: Clients who use combination HRT are at an increased risk of developing breast cancer.
Rationale 2: Clients who use combination HRT are at an increased risk of developing endometrial cancer.
Rationale 3: Clients who use combination HRT are at an increased risk of dementia.
Rationale 4: Clients between the ages of 50 and 59 who use combination HRT actually experience a slight decrease in adverse cardiovascular events.
Global Rationale: Clients between the ages of 50 and 59 who use combination HRT actually experience a slight decrease in adverse cardiovascular events. Clients are at increased risk for developing breast cancer, endometrial cancer, and dementia.

Answer to Question 2

Correct Answer: 1
Rationale 1: HRT is best used for short-term relief of moderate-to-severe menopausal symptoms. This client is unable to sleep; therefore, medication to control her symptoms would be helpful.
Rationale 2: Vaginal atrophy is caused by menopause but can be treated by methods other than HRT.
Rationale 3: HRT can decrease the risk of hip fracture, but there is no guarantee it will prevent osteoporosis.
Rationale 4: Combination HRT might reduce the chances of developing colorectal cancer, but a family history of this disease is not an indication for use of HRT.
Global Rationale: HRT is best used for short-term relief of moderate-to-severe menopausal symptoms. This client is unable to sleep; therefore, medication to control her symptoms would be helpful. Vaginal atrophy is caused by menopause but can be treated by methods other than HRT. HRT can decrease the risk of hip fracture, but there is no guarantee it will prevent osteoporosis. Combination HRT might reduce the chances of developing colorectal cancer, but a family history of this disease is not an indication for use of HRT.