A client tells the nurse that because a hormone replacement medication was not working, the client ...

Correct Answer: 1,2
Rationale 1: Hormonal balance is kept within a narrow range. Too much of a hormone may cause profound physiological changes.
Rationale 2: Hormones from the endocrine system can affect all body cells and take as long as several days to produce optimum responses.
Rationale 3: Although the nurse may want to make this response, it is inappropriate. The nurse needs to explain why the dose of the hormone should not be increased without health care provider guidance.
Rationale 4: Hormone replacement may take several days or longer to produce the desired effects. The nurse has no way of knowing if the wrong hormone replacement was prescribed until the client experiences effects.
Rationale 5: Hormonal balance is kept within a narrow range. The nurse has no way of knowing what the health care provider would have done because the client was not yet experiencing the effects of the replacement.
Global Rationale: Hormonal balance is kept within a narrow range. Too much of a hormone may cause profound physiological changes. Hormones from the endocrine system can affect all body cells and take as long as several days to produce optimum responses. Although the nurse may want to admonish the patient, it is inappropriate. The nurse needs to explain why the dose of the hormone should not be increased without health care provider guidance. The nurse has no way of knowing if the wrong hormone replacement was prescribed until the client experiences effects. The nurse has no way of knowing what the health care provider would have done because the client was not yet experiencing the effects of the replacement.