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
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.
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