The nurse manages care for several clients receiving hormone replacement therapy (HRT). What will the priority assessment by the nurse include as related to side effects?
1. Pain in the calf
2. Decreased libido
3. Low-back pain
4. Chronic fatigue
Correct Answer: 1
Rationale 1: Hormone replacement therapy puts the client at risk for thrombophlebitis. The nurse should always assess for calf pain and other symptoms of thrombophlebitis.
Rationale 2: Decreased libido is a side effect of hormone replacement therapy (HRT), but is not as high a priority as assessing the pain in the calf.
Rationale 3: Low-back pain is nonspecific and does not apply to hormone replacement therapy (HRT).
Rationale 4: Chronic fatigue could be a side effect of hormone replacement therapy (HRT), but it is nonspecific and could result from many other causes.
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