NR566 final Exam with Complete Solutions

NR566 final Exam with Complete Solutions A postmenopausal patient who has had a hysterectomy and who has a family history of coronary heart disease reports experiencing 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: 1. an estrogen-progesterone product will reduce side effects. 2. an intravaginal preparation may be best for her. 3. side effects of ET are uncommon among women her age. 4. transdermal preparations have fewer side effects. ANS: D