NUR 566 SUMMER PRACTICE FINAL EXAM 2024 QUESTION AND ANSWERS WITH RATIONALES

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NUR 566 SUMMER PRACTICE FINAL EXAM 2024 QUESTION AND ANSWERS WITH RATIONALES A postmenopausal patient who has had a hysterectomy and who has a family history of coronary heart disease reports experi... encing vaginal dryness and pain with intercourse but tells the nurse that she does not want to take hormones because she is afraid of adverse effects. The nurse will suggest that the woman ask her provider about: 1. Depo Provera. 2. Estraderm. 3. low-dose estrogens. 4. Premarin vaginal. ANS: D Estrogens for intravaginal administration are used for local effects, primarily to treat vulval and vaginal atrophy. Because these preparations bypass the liver, the total dose is reduced and there is a lower risk of systemic effects. Depo Provera is a progesterone and is not indicated. Transdermal estrogen is used to treat hot flushes. Low-dose estrogens still have systemic effects. A 50-year-old postmenopausal patient who has had a hysterectomy has moderate to severe vasomotor symptoms and is discussing estrogen therapy (ET) with the nurse. The patient is concerned about adverse effects of ET. The nurse will tell her that: [Show More]

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