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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Related Questions
Correct Answer is B
Explanation
A. Palliative care focuses on providing comfort and relief from symptoms for individuals with serious illnesses, often those with life-limiting conditions. Respite care is not specifically designed for palliative care but can complement it by offering temporary relief to caregivers.
B. Respite care is a form of temporary care that allows caregivers a break or time off from their responsibilities. It is intended to provide short-term relief and support for family members or caregivers who are taking care of individuals with chronic illnesses, disabilities, or age-related conditions.
C. Restorative care involves interventions and services aimed at improving an individual's functional abilities and promoting independence. Respite care is not primarily focused on restorative care but rather on giving caregivers a temporary break.
D. Pain management is a specialized area of care that focuses on assessing and treating pain. Respite care, while it may involve managing symptoms during the temporary care period, is not specifically designed for pain management.
Correct Answer is C
Explanation
A. A 15-year-old client who has acne:
Acne alone is not a contraindication to oral contraceptives. In fact, oral contraceptives can sometimes be prescribed to help manage acne.
B. A client who has a menstrual cycle every 14 days:
Having a menstrual cycle every 14 days may indicate an irregular cycle, but it's not a direct contraindication to oral contraceptives. However, the cause of the frequent cycles might need evaluation before starting oral contraceptives.
C. A client who has a blood pressure of 140/90 mm Hg:
Elevated blood pressure (140/90 mm Hg or higher) is a contraindication to oral contraceptives. It increases the risk of complications such as stroke, heart attack, or other cardiovascular issues.
D. A client who has a hematocrit of 39%:
A hematocrit level of 39% is within the normal range and is not a contraindication to oral contraceptives.
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