A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should:
a. prescribe estrogen-only therapy.
b. initiate oral contraceptive pills now.
c. discuss using bioidentical HT.
d. plan to use estrogen-progesterone therapy when menopause begins.
D
The timing hypothesis suggests that initiating HT at or very near to the time of menopause, which begins when a woman has not had a period for 12 months, reduces CHD in postmenopausal women. Estrogen-only therapy is indicated only for women who do not have a uterus. Oral contraceptive pills increase the risk of CHD. Bioidentical HT is not indicated.
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Which of the following typically occurs between 5 and 7 months of age?
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You are caring for a person with a tracheostomy. The person wishes to take a shower. What are the implications?
What will be an ideal response?
A patient weighing 80 kg is receiving resuscitative care for a burn to 46% of total body surface area
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