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 A
Explanation
a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.
b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.
c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.
d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.
Correct Answer is A
Explanation
Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.
Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.
Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.
Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.
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