Which assessment finding in a woman who recently started taking hormone therapy (HT) is most important for the nurse to report to the health care provider?
a. Breast tenderness
b. Left calf swelling
c. Weight gain of 3 lb
d. Intermittent spotting
ANS: B
Unilateral calf swelling may indicate deep vein thrombosis caused by the changes in coagulation associated with HT and would indicate that the HT should be discontinued. Breast tenderness, weight gain, and intermittent spotting are common side effects of HT and do not indicate a need for a change in therapy.
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