The 50-Year-Old Who Is Postmenopausal Asks the Nurse About the Use

The 50-year-old who is postmenopausal asks the nurse about the use of estrogen replacement therapy to protect the heart.How should the nurse respond?

A) "This therapy is well proven to protect the heart in postmenopausal women."
B) "Estrogen replacement therapy is helpful to reduce the sleep disturbances and hot flashes associated with menopause,but does not protect the heart."
C) "Estrogen replacement therapy has been proven to have no effect on any postmenopausal symptoms and is not protective of the heart."
D) "The use of estrogen replacement therapy is complex and requires a thoughtful review of the balance between possible benefits and possible risks."