A 50-year-old postmenopausal client who has had a hysterectomy has moderate to severe hot flashes and is discussing estrogen therapy with the nurse. What will the nurse tell the client regarding the side effects of estrogen therapy?
Transdermal preparations of estrogen therapy have reduced side effects.
An intravaginal preparation may be best.
An estrogen-progesterone product will increase side effects.
Side effects of estrogen therapy are uncommon among women of her age.
The Correct Answer is A
a) Transdermal estrogen therapy may have reduced side effects compared to oral preparations.
b) Intravaginal preparations may be more focused on genitourinary symptoms and may not necessarily reduce side effects.
c) An estrogen-progesterone combination is often used to prevent endometrial hyperplasia but may not necessarily increase side effects.
d) While side effects can occur at any age, the focus should be on the formulation of estrogen therapy, and transdermal preparations are often associated with reduced side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Antihistamines are generally considered safe during breastfeeding, but this statement does not address the safety during pregnancy.
b) The general recommendation is to avoid unnecessary medication use during pregnancy, including antihistamines, especially during the first trimester.
c) The margin of safety for antihistamines is not universally understood, and caution is advised during pregnancy.
d) While second-generation antihistamines are considered safer than first-generation ones, the safety of any medication during pregnancy should be discussed with a healthcare provider.
Correct Answer is ["B","C","E"]
Explanation
a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.
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