ACCURATE COMPLETE SOLUTIONS
PASSED 100%
A woman experiencing menopause has been placed on hormone replacement therapy
(HRT) by her health care provider. What information regarding HRT should the nurse
provide the client?
a "Hormone replacement therapy will assist in alleviating severe manifestations when
used on a short-term basis."
b "You can stay on HRT as long as you need it."
c "You will find that HRT will improve bone density and serum lipids. "
d "Hormone replacement therapy is safe for long-term use. - Correct Answer ✔✔ a
(Rationale
Hormone replacement therapy (HRT) may increase a woman's risk of gynecologic
cancers and cerebrovascular accidents. Therefore, HRT is not safe for long-term use.
Hormone replacement therapy will be prescribed short-term to alleviate severe
manifestations to menopause. HRT does not improve bone density and serum lipids.)
A client has been diagnosed with menopause and is complaining of increased severity
of manifestations. Which treatments can be used for the treatment of menopausal
symptoms?
(Select all that apply.)
a Hormone replacement therapy
b Herbs
c Acupuncture
d Bioidentical hormones
e Gabapentin (Neurontin) - Correct Answer ✔✔ a,b,c,d
(Rationale
Menopausal symptoms can be treated with medications or the use of alternative and
complementary therapies. Medications include hormone replacement therapy,
raloxifene, triphenylethylene, fluoxetine, paroxetine, and venlafaxine. Alternative and
, complementary therapies include bioidentical hormones, acupuncture, biofeedback,
massage, meditation, yoga, and herbs.Gabapentin (Neurontin) is not used to treat
manifestations of menopause.)
The nurse is discussing menopause with a 40-year-old client. During this discussion,
the nurse identified which factor that determines when perimenopause may occur?
a Genetics
b Age of menarche
c Being sexually active
d Alcohol use - Correct Answer ✔✔ a
(Rationale
The age of perimenopause is genetically programmed and unrelated to the age of
menarche. Cigarette smoking and living at high altitudes can lead to earlier menopause.
Alcohol use and being sexually active does not influence perimenopause.)
The nurse is teaching a woman about the hormonal changes that occur during
menopause. Which hormonal change would the nurse state is responsible for the
symptoms of menopause?
a Decreased follicle-stimulating hormone
b Decreased progesterone
c Decreased estrogen
d Decreased luteinizing hormone - Correct Answer ✔✔ c
(Rationale:
The amount of estrogen produced by the ovaries decreases, leading to the symptoms of
menopause. Progesterone will not be produced during anovulatory cycles but does not
produce the symptoms of menopause. Follicle-stimulating hormone will increase in the
body's attempt to stimulate the ovaries. The level of luteinizing hormone will vary
depending on the ovulatory cycle but does not produce the symptoms of menopause.)
A 34-year-old client presents to the family practice clinic with complaints of not having a
menstrual period in the past 14 months. What data should the nurse obtain when
performing a physical examination on the client?
a Drug and alcohol use
b Sexual history