2024 PN NCLEX Questions Nursing Practice Question
After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
Correct Answer: D
Rationale: Uterine bleeding after 12 months of amenorrhea in a client on hormone replacement therapy (HRT) is concerning and warrants immediate reporting, as it may indicate endometrial hyperplasia or malignancy.
Breast tenderness (A), weight gain (B), and fluid retention (C) are common side effects of HRT and typically do not require urgent intervention unless they are severe or accompanied by other alarming symptoms. Monitoring these symptoms is important, but they do not pose an immediate health risk like abnormal uterine bleeding does. Therefore, prompt evaluation of uterine bleeding is crucial for patient safety.