KVV E-Modules

1. Before initiating HRT, the nurse should obtain which of the following histories?

A: Only obstetric history B: Personal or family history of breast cancer, liver or kidney disease C: History of allergies only D: History of sleep pattern

2. Which condition must the nurse assess for prior to HRT because estrogen increases its risk?

A: Osteoporosis B: Thromboembolic disease C: Hypothyroidism D: Glaucoma

3. During HRT, abnormal uterine bleeding may indicate:

A: Nutritional deficiency B: Presence of an undiagnosed tumor C: Normal adjustment to therapy D: Vaginal infection

4. A woman on HRT reports intolerance to contact lenses. The nurse recognizes this may be due to:

A: Caffeine intake B: Smoking C: Estrogen-induced vision changes D: Stress

5. Which of the following lifestyle habits should the nurse specifically discourage in a patient receiving HRT?

A: Daily exercise B: Smoking C: Moderate water intake D: Balanced diet

6. Estrogen and caffeine taken together may lead to:

A: CNS stimulation B: Sleep improvement C: Reduction of side effects D: Bone strengthening

7. Counseling women with early or surgical menopause should focus on:

A: Increasing medication dose B: Providing extra reassurance and support C: Avoiding follow-up visits D: Preventing exercise

8. The nurse should explain the purpose of HRT to the patient as mainly for:

A: Increasing fertility B: Relief of menopausal symptoms and bone health C: Weight reduction D: Treating hypertension

9. When teaching a woman on HRT, which instruction is MOST important?

A: Stop the medicine if symptoms disappear B: Do not alter dose without consulting the provider C: Double the dose if one dose is missed D: Avoid taking the medicine at bedtime

10. Which of the following symptoms should a patient on HRT report immediately?

A: Mild bloating B: Leg pain or chest pain C: Breast tenderness D: Nausea