A 40-year-old patient undergoes a total abdominal hysterectomy. After the procedure, the patient expresses an interest in hormone replacement therapy. What information should the nurse provide?
1. The underlying reason for the hysterectomy will be the primary determinant of the type of hormone replacement therapy selected.
2. This patient may be managed by an estrogen/progestin compound.
3. Hormone replacement therapy is not indicated after this particular procedure.
4. The patient is close enough to menopause not to be a candidate for hormone replacement therapy.
3
Rationale 1: The reason for the hysterectomy does not direct hormone replacement therapy.
Rationale 2: This patient will not require hormone replacement therapy, as the ovaries are still in place.
Rationale 3: A total abdominal hysterectomy is the removal of the uterus and cervix. The fallopian tubes are not removed during this procedure. As the woman has her own ovaries, hormone replacement therapy is not indicated.
Rationale 4: The patient's age is not the criterion for hormone replacement therapy.
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