NURS 6521N Wk10 Discussion: Hormone Replacement Therapy (HRT)

NURS 6521N Wk10 Discussion: Hormone Replacement Therapy (HRT)

NURS 6521N Wk10 Discussion: Hormone Replacement Therapy (HRT)

NURS 6521 Walden Week 10 Discussion Latest

Hormone Replacement Therapy

In recent years, hormone replacement therapy has become a controversial issue. When prescribing therapies, advanced practice nurses must weigh the strengths and limitations of the prescribed supplemental hormones. If advanced practice nurses determine that the limitations outweigh the strengths, then they might suggest alternative treatment options such as herbs or other natural remedies, changes in diet, and increase in exercise.

Consider the following scenario:

As an advanced practice nurse at a community health clinic, you often treat female (and sometimes male patients) with hormone deficiencies. One of your patients requests that you prescribe supplemental hormones. This poses the questions:

How will you determine what kind of treatment to suggest?

What patient factors should you consider?

Are supplemental hormones the best option for the patient, or would they benefit from alternative treatments?

To prepare:

Review Chapter 56 of the Arcangelo and Peterson text, as well as the Holloway and Makinen and Huhtaniemi articles in the Learning Resources.

Review the provided scenario and reflect on whether or not you would support hormone replacement therapy.

Locate and review additional articles about research on hormone replacement therapy for women and/or men. Consider the strengths and limitations of hormone replacement therapy.

Based on your research of the strengths and limitations, again reflect on whether or not you would support hormone replacement therapy.

Consider whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies.

With these thoughts in mind:

By Day 3

Post a description of the strengths and limitations of hormone replacement therapy. Based on these strengths and limitations, explain why you would or why you would not support hormone replacement therapy. Explain whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies and why.

By Day 6

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who provided a different rationale than you did, in one or more of the following ways:

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

NURS 6521 Walden Week 11 Discussion Latest

Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion. Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To prepare:

Review the Bazzano et al. and Mayhew articles in the Learning Resources. Reflect on situations in which children should be prescribed drugs for off-label use.

Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

With these thoughts in mind:

By Day 3

Post an explanation of circumstances under which children should be prescribed drugs for off-label use. Then, describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

By Day 6

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who provided a different rationale than you did, in one or more of the following ways:

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Sample Week 10 Solution Incomplete…

Hormone replacement therapy, or HRT, is often used to treat menopause but it also approved for the treatment of osteoporosis (The North American Menopause Association, n.d.). There are two main forms of HRT: estrogen-only therapy or estrogen plus progestogen therapy. If a woman stillhas her uterus she will likely be prescribed the estrogen plus progestogen therapy as it protects against endometrial cancer (Arcangelo & Peterson, 2013)

There is generally two ways the treatment can be delivered. Either by generalized, or systemic treatment via pills, patches, sprays, injections, etc. or in a localize way via a cream, ring, or gel (generally used for vaginal symptoms) (The North American Menopause Association, n.d.).

The benefits associated with HRT are widely recognized for the treatment of menopause. People who take HRT for menopause experience fewer hot flashes, and night sweats, improved vaginal dryness, bone loss, sleep, sexual experiences, and overall improvement in quality of life (Women’s Health Concern, 2017).

…

NURS 6521N Advanced Pharmacology – Wk10 Quiz

⦁ Question 31
1 out of 1 points

A 15-year-old male was diagnosed with pharyngitis. Eight days later he developed acute glomerulonephritis. While reviewing the culture results, which of the following is the most likely cause of this disease?
Selected Answer: d.
Group A ß-hemolytic streptococcus
Correct Answer:

⦁ Question 32
1 out of 1 points

A urologist is discussing the phagocytic cells that lie between the layers of the renal corpuscle. What is the urologist describing?
Selected Answer: c.
Mesangial cells
Correct Answer:

⦁ Question 33
1 out of 1 points

Anemia accompanies chronic renal failure because of:
Selected Answer: c.
Inadequate production of erythropoietin
Correct Answer:

⦁ Question 34
1 out of 1 points

The urologist is teaching about the nephrons that determine the concentration of the urine. The urologist is discussing the _____ nephrons.
Selected Answer: a.
Juxtamedullary
Correct Answer:

⦁ Question 35
1 out of 1 points

A 35-year-old female was severely burned and is hospitalized. She is now suffering from acute tubular necrosis (ATN). Which of the following is the most likely diagnosis the nurse will observe on the chart?
Selected Answer: b.
Intrarenal
Correct Answer:

⦁ Question 36
1 out of 1 points

A nurse is preparing to teach about the loop of Henle. Which information should be included? The descending segment of the loop of Henle primarily allows for:
Selected Answer: d.
Water reabsorption
Correct Answer:

NURS 6521N Advanced Pharmacology – Wk10 Quiz

⦁ Question 37
1 out of 1 points

A 25-year-old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks the culture results, which of the following organisms is most likely infecting her urinary tract?
Selected Answer: d.
Escherichia coli
Correct Answer:

⦁ Question 38
1 out of 1 points

A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart?
Selected Answer: b.
Stress incontinence
Correct Answer:

⦁ Question 39
0 out of 1 points

A 45-year-old female presents with hypertension, anorexia, nausea and vomiting, and anemia. She is diagnosed with chronic renal failure. When the patient asks what caused this anemia, how should the nurse respond? Your anemia is caused by:
Selected Answer: c.
Inadequate iron absorption in the gut
Correct Answer:

⦁ Question 40
1 out of 1 points

A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur?
Selected Answer: b.
Compensatory hypertrophy of the remaining kidney
Correct Answer:

⦁ Question 41
0 out of 0 points

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Selected Answer:
Yes
Correct Answer:
Yes