The nurse is preparing to administer an estrogen-containing medication to a patient. This medication will be held if the nurse assesses that the patient (Select all that apply.)
a. may be pregnant.
b. has a blood pressure of 130/70.
c. has a history of phlebitis.
d. reports breast tenderness.
e. is taking thyroid hormones.
ANS: A, C
The nurse must determine whether the patient is pregnant before starting estrogen therapy and the medication withheld if there is a possibility of pregnancy. Estrogen should be held and the health care provider contacted if the patient has a history of thromboembolitic disorders. A blood pressure of 130/70 is considered within normal limits. Breast tenderness is not a contraindication of estrogen administration. Thyroid hormones may need adjustment, but a patient taking estrogen can take thyroid hormones.
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