Question

The nurse is taking a history of a female client who is scheduled to begin estrogen therapy. It is most important to the drug therapy for the nurse to determine if the client has a history of what condition? Select all that apply.

a) Smokes 1.5 packs of cigarettes/day
b) Liver disease
c) Drinks one glass of white wine/day
d) Thrombophlebitis
e) Osteomyelitis

Answer 1

The nurse should determine if the client has a history of thrombophlebitis and liver disease.

Step-by-step explanation:

When taking a history of a female client who is scheduled to begin estrogen therapy, it is most important for the nurse to determine if the client has a history of thrombophlebitis and liver disease. Thrombophlebitis is a condition characterized by the inflammation of a vein due to the formation of a blood clot. Estrogen therapy can increase the risk of blood clots, so it is essential to assess if the client has a history of thrombophlebitis as it may contraindicate the use of estrogen therapy. Liver disease is also crucial to assess because estrogen is primarily metabolized in the liver. If the client has liver disease, it can affect the metabolism and clearance of estrogen from the body, potentially leading to adverse effects.