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 assessing contraindications for hormone replacement therapy (HRT), unexplained vaginal bleeding is a significant concern, as it may indicate underlying issues such as endometrial cancer. This necessitates further evaluation before considering HRT.
Family history of stroke (A) is important but does not automatically contraindicate HRT; risk factors can vary by individual. Ovaries removed before age 45 (B) can influence HRT decisions, but it is not a strict contraindication. Frequent hot flashes and/or night sweats (C) are common symptoms of menopause that often lead to HRT consideration rather than exclusion.