2024 PN NCLEX Questions Nursing Practice Question
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Correct Answer: D
Rationale: In the context of hormone replacement therapy (HRT), unexplained vaginal bleeding is a significant contraindication. This symptom may indicate underlying conditions such as endometrial hyperplasia or cancer, which could be exacerbated by HRT.
A family history of stroke (A) may increase risk but does not automatically contraindicate HRT; careful evaluation is needed. Ovaries removed before age 45 (B) can influence hormonal balance but isn’t a direct contraindication. Frequent hot flashes and/or night sweats (C) are common menopausal symptoms that often lead to considering HRT, rather than contraindicating it.