A 55-year-old woman has not had menstrual periods for 5 years and tells the primary care nurse practitioner (NP) that she is having increasingly frequent vasomotor symptoms
She has no family history or risk factors for coronary heart disease (CHD) or breast cancer but is concerned about these side effects of hormone therapy (HT). The NP should: a. tell her that starting HT now may reduce her risk of breast cancer.
b. advise a short course of HT now that may decrease her risk for CHD.
c. tell her that HT will not help control her symptoms during postmenopause.
d. recommend herbal supplements for her symptoms to avoid HT side effects.
A
The current gap hypothesis regarding breast cancer supports initiating HT 5 years or more after menopause. To decrease risk for CHD, HT should begin at the time of menopause. HT will relieve vasomotor symptoms at all stages of menopause. Herbal supplements have estrogenizing effects and carry the same risks as estrogen therapy.
You might also like to view...
The nurse is examining a 3-year-old boy with acute otitis media. He has a mild earache and a temperature of 38.5 degrees C. Which action would be most appropriate?
A) Obtain a culture of the middle ear fluid. B) Advise the parents to watch for worsening of symptoms. C) Administer antibiotics. D) Administer antivirals.
A patient with an ongoing sinus infection is admitted for treatment. In addition to antibiotics, which treatments should the nurse expect to be prescribed for this patient?
Select all that apply. 1. topical steroids 2. saline nose drops 3. saltwater gargles 4. oral decongestants 5. warm steam inhalation
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained,the legal informed consent for treatment on behalf of a minor child will be obtained from
1. the divorced parent withoutcustody. 2. a cohabitating unmarried boyfriendof the child's mother. 3. a grandparent who lives in the homewith the child. 4. a babysitter with written proxyconsent.
Which of the following considerations should a nurse prioritize when assessing an older adult who has arrhythmias?
A) Assess the client for adverse medication reactions. B) Check the client's electrolytes immediately. C) Make an assessment in relation to the client's medical history. D) Perform auscultation before collecting the client's history.