A patient who recently had a hysterectomy states that she is nervous about taking the estrogen replacement therapy prescribed by her health care provider. She states that she is worried about developing breast cancer later in life

Question

Which statement by the nurse is most appropriate? 1. "The risk of breast cancer is somewhat increased for women who opt to take estrogen replacement therapy.".
2. "The risk of breast cancer is not increased for women who have had a hysterectomy and take estrogen replacement medications.".
3. "Has your gynecologist discussed estrogen–progestin combination therapy with you?"
4. "Has your gynecologist shared that it is not necessary to take estrogen drugs after a hysterectomy?"

Answer 1

1
Rationale 1: Although research on the subject continues, current findings suggest the risk for the development of breast cancer is slightly greater for women who take estrogen replacement therapy after undergoing a hysterectomy.
Rationale 2: Although research on the subject continues, current findings do not support this statement.
Rationale 3: Progestin therapies are not used for women who are in surgical menopause.
Rationale 4: While it is not mandatory to take estrogen replacement therapy after surgery, the nurse should clarify and correct any misconceptions of the patient.