The client is premenopausal and asks the nurse if she should be taking hormone replacement therapy (HRT). What will the best plan by the nurse include?
1. Discuss alternative methods of dealing with premenopausal symptoms.
2. Schedule an appointment with the physician to begin hormone replacement therapy (HRT).
3. Determine if the client has risk factors that would contraindicate hormone replacement therapy (HRT).
4. Tell the client to schedule an appointment when she is having menopause.
1
Rationale 1: Hormone replacement therapy (HRT) is an option, but the client should have all available information to make an informed decision. The nurse should discuss alternate methods of dealing with premenopausal symptoms.
Rationale 2: The client should have information about available alternate methods prior to seeing the physician.
Rationale 3: The nurse does not need to assess risk factors for hormone replacement therapy (HRT) until the client has made the decision to receive it.
Rationale 4: The client is asking for assistance with premenopausal symptoms; she should not have to wait until menopause.
Global Rationale: Hormone replacement therapy (HRT) is an option, but the client should have all available information to make an informed decision. The nurse should discuss alternate methods of dealing with premenopausal symptoms. The client should have information about available alternate methods prior to seeing the physician. The nurse does not need to assess risk factors for hormone replacement therapy (HRT) until the client has made the decision to receive it. The client is asking for assistance with premenopausal symptoms; she should not have to wait until menopause.
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