A postmenopausal client learns that her level of "good" cholesterol is decreasing and the level of "bad" cholesterol is rising. How should the nurse explain this physiologic mechanism to the client?
1. "At menopause, your body quits producing progesterone, which keeps your cholesterol level low."
2. "Menopause weakens the blood vessels and allows the bad cholesterol to become more prominent."
3. "During menopause, the estrogen level decreases dramatically. Estrogen helps to keep the ‘good' cholesterol high and the ‘bad' cholesterol low, and also helps to protect the heart."
4. "Because cholesterol problems are all hereditary, your ‘bad' cholesterol levels are probably rising in the same manner as your family members' did."
Correct Answer: 3
Rationale 1: Progesterone does not affect cholesterol levels.
Rationale 2: Menopause does not weaken the blood vessels.
Rationale 3: Estrogen decreases the levels of low-density lipoprotein (LDL) and increases the amount of high-density lipoprotein. These effects are cardioprotective and decrease the risk of myocardial infarction.
Rationale 4: Not all cholesterol problems are caused by heredity.
Global Rationale: Estrogen decreases the levels of low-density lipoprotein (LDL) and increases the amount of high-density lipoprotein. These effects are cardioprotective and decrease the risk of myocardial infarction. Progesterone does not affect cholesterol levels. Menopause does not weaken the blood vessels. Not all cholesterol problems are caused by heredity.
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