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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Unlike an x-ray, the MRI allows you to move around a bit":
This statement is not accurate. During an MRI, it is important for the client to remain as still as possible to obtain clear images. Movement can result in blurred images.
B. "Your exposure to radiation will be minimal":
This statement is not applicable to MRI, as MRI does not use ionizing radiation. It uses a strong magnetic field and radio waves to generate images, making it different from x-rays in terms of radiation exposure.
C. "You will not be able to talk to the technician during the procedure":
While it is essential for the client to remain still during an MRI, communication with the technician is generally possible through an intercom system. The client may be given instructions and reassurance during the procedure.
D. "You'll have to remove metal objects such as watches and body jewelry":
This is the correct statement. Metal objects can interfere with the magnetic field used in MRI and can pose a safety risk. Therefore, clients are required to remove any metal objects before undergoing an MRI.
Correct Answer is ["C","D","E"]
Explanation
A. A client who has had prolonged diarrhea:
Prolonged diarrhea is not typically associated with an increased risk of aspiration during eating.
B. A client who has lactose intolerance:
Lactose intolerance primarily affects the ability to digest lactose-containing foods and does not directly increase the risk of aspiration.
C. A client who has had radiation therapy for head and neck cancer:
Radiation therapy to the head and neck can cause damage to the structures involved in swallowing, increasing the risk of aspiration.
D. A client who has had a stroke:
Stroke can affect the coordination of swallowing muscles, leading to dysphagia (difficulty swallowing) and an increased risk of aspiration.
E. A client who is 4 hr postoperative following a leg amputation under general anesthesia:
Postoperative clients under general anesthesia may experience impaired protective airway reflexes, making them prone to aspiration. It's important to monitor these clients closely during the initial recovery period.
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