A 49-Year-Old Patient Comes to the Clinic with Complaints of Severe

question 3

Multiple Choice

A 49-year-old patient comes to the clinic with complaints of severe perimenopausal symptoms including hot flashes, night sweats, urinary urgency, and vaginal dryness. The physician has prescribed a combination hormone replacement therapy of estrogen and progestin. When the patient asks the nurse why she must take both hormones, the best reply is:

• A) "Hot flashes respond better when replacement includes both hormones."
• B) "You are having very severe symptoms, so you need more hormones replaced."
• C) "There is an increased risk of tissue abnormality inside the uterus if only one is given."
• D) "Your blood pressure can become elevated if only one hormone is used."

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Definitions:

PKU

Phenylketonuria, a genetic disorder resulting from the inability to metabolize the amino acid phenylalanine, leading to developmental problems if not treated.

Color-blindness

A deficiency in the way one sees color, making it difficult to distinguish certain shades or colors.

Tongue Curling

The ability to roll or curl the tongue into a U-shape, which is believed to be partly influenced by genetics.

Mental Retardation

An outdated and insensitive term historically used to describe individuals with significant intellectual disabilities.