A nursing working in an outpatient women's health clinic is caring for a client in menopause. When discussing hormone replacement therapy (HRT) with the client, the nurse should include which statement?
A) "Most healthy, recently menopausal women should not use HRT for relief of hot flashes and vaginal dryness."
B) "HRT is the least effective treatment of menopausal hot flashes and vaginal dryness."
C) "If vaginal dryness and painful intercourse are the only symptoms, then low-dose vaginal estrogen is preferred."
D) "The risk of blood clots in the legs or lungs is further increased by using transdermal patches, gels, or sprays."
Answer: C
If vaginal dryness and dyspareunia (painful intercourse) are the only symptoms, then low-dose vaginal estrogen is preferred. Most healthy, recently menopausal women may use HRT for relief of hot flashes and vaginal dryness. Risks for blood clots in the legs and lungs are increased with HRT, but occurrence is rare in women age 50-59. The risk is further lowered by using low-dose estrogen pills or transdermal patches, gels, or sprays.
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