A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?
Concurrent treatment for GERD
History of breast cancer
History of dermatitis
Multiple hospitalizations for COPD
The Correct Answer is B
A. Concurrent treatment for GERD:
This is not typically a contraindication for hormone replacement therapy (HRT). GERD treatment is not directly related to the decision to use HRT.
B. History of breast cancer:
This is a contraindication for HRT. Estrogen replacement therapy has been associated with an increased risk of breast cancer. Therefore, individuals with a history of breast cancer are generally advised against using HRT.
C. History of dermatitis:
A history of dermatitis is not a contraindication for HRT. However, the decision to use HRT should be made based on a comprehensive assessment of the client's overall health and risk factors.
D. Multiple hospitalizations for COPD:
While COPD itself is not a contraindication for HRT, decisions about HRT should consider the individual's overall health status and potential risks. Factors such as smoking history and respiratory function may be considered in the assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7"]
Explanation
To give the correct dose of amoxicillin 350 mg PO, the nurse needs to calculate how many ml. of the available solution are equivalent to that amount. The available solution has a concentration of 250 mg/5 mL, which means that every 5 ml. contain 250 mg of amoxicillin. To find out how many ml. are needed for 350 mg, the nurse can use a proportion:
250 mg/5 mL = 350 mg/x mL
Cross-multiplying and solving for x, we get:
x = (350 mg x 5 mL) / 250 mg
x = 7 ml.
Therefore, the nurse should administer 7 ml. of the amoxicillin solution.
Correct Answer is ["A","B","E"]
Explanation
A. Client understands the surgical procedure:
The client should have a clear understanding of the proposed surgical procedure, its risks, benefits, alternatives, and potential complications.
B. Voluntary consent is given:
The client's consent should be given voluntarily, without coercion or pressure from healthcare providers or others.
C. Client's ability to read the consent form:
While it is helpful for clients to be able to read the consent form, the ability to read the form is not a requirement for valid consent. The information should be explained verbally if the client cannot read.
D. Client's ability to pay for the consented surgical procedure:
The client's ability to pay for the procedure is not a factor in obtaining informed consent. Financial considerations do not affect the validity of the consent.
E. Disclosure of the treatment is provided:
Healthcare providers must disclose information about the proposed treatment, including its nature, purpose, risks, benefits, and potential alternatives, allowing the client to make an informed decision.
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