The client is pre-menopausal 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 pre-menopausal 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.
Correct Answer: 1
Rationale 1: Hormone replacement therapy (HRT) is an option, but the client should have all available information in order to make an informed decision. The nurse should discuss alternate methods of dealing with pre-menopausal symptoms.
Rationale 2: The client should have information about alternate methods available 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 pre- menopausal symptoms; she should not have to wait until menopause.
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