A 40-year-old client undergoes a total abdominal hysterectomy. After the procedure, the patient voices an interest in hormone replacement therapy. What information should be provided to the client?
1. Hormone replacement therapy is not indicated after this particular procedure.
2. The patient is close enough to menopause not to be a candidate for hormone replacement therapy.
3. This client may be managed by an estrogen/progestin compound.
4. The underlying reason for the hysterectomy will be the greatest determinant for the type of hormone replacement therapy selected.
Hormone replacement therapy is not indicated after this particular procedure.
Rationale: A total abdominal hysterectomy is the removal of the uterus and cervix. The fallopian tubes are not removed during this procedure. Since the woman has her own ovaries, hormone replacement therapy is not indicated, thus refuting all other options presented.
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