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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

a) St. John's Wort is known to increase the risk of bleeding, particularly when used in conjunction with anticoagulant medications. This effect is of concern and may require adjustments in the treatment plan.

b) While St. John's Wort can interact with various drugs, increasing the risk of bleeding is a more immediate concern.

c) St. John's Wort does not counteract the effects of CNS depressants; it may actually enhance the effects of these drugs.

d) St. John's Wort is known to induce the metabolism of some drugs, potentially reducing their effectiveness, but the immediate concern is the risk of bleeding.

A. Jaundice B. Acne C. Increased libido D. Increased facial hair

Correct Answer is A

Explanation

a) Jaundice may indicate liver dysfunction, which can be a serious side effect of androgen use. It requires prompt notification of the healthcare provider.

b) Acne, increased libido, and increased facial hair are common side effects of androgens but may not be considered as urgent or concerning as jaundice.

c) Increased libido and increased facial hair are expected effects of androgens and may not require immediate notification.

d) Increased facial hair is an expected effect of androgens and may not warrant immediate provider notification unless there are other concerning symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

Correct Answer is A

Explanation

A nurse is reviewing the chart of an adult male client who has been taking oral androgens. Which assessment would warrant notifying the provider?

Correct Answer is A

Explanation

A nurse is giving discharge instructions to a client who is beginning theophylline. The nurse should tell the client that this medication might cause which of the following adverse effects?

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