Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
A client experiencing menopausal symptomsA nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contradicted due to which of the following findings in the client's medical history?
Correct answer
A
Rationale
The correct answer is A: History of breast cancer. Menopausal hormone therapy is contraindicated in clients with a history of breast cancer due to the potential risk of cancer recurrence or progression. Estrogen in hormone therapy can stimulate the growth of estrogen-sensitive breast cancer cells. This contraindication is based on evidence-based guidelines to prioritize the client's safety and well-being. Choices B, C, and D are not directly related to the contraindication of hormone therapy in menopausal clients. Multiple hospitalizations for COPD, history of dermatitis, and concurrent treatment for GERD do not have a direct impact on the safety of hormone therapy in clients with menopausal symptoms.