Nurse Practitioners (NP) increasingly provide primary and specialty care for a variety of populations and could improve access to and quality of care for transgender patients.

Nurse Practitioners (NP) increasingly provide primary and specialty care for a variety of populations and could improve access to and quality of care for transgender patients. 1. Read the Chief Complaint below. 2. Answer the below questions. Part 1 Chief Complaint. Martha is a 28 y.o. transgender female. She has not been seen by a health-care provider in 2 years. Over this period, she has continued her established therapy, which includes 100 mg of spironolactone and 4 mg estrogen daily. Part 2. Answer the two questions below, based upon the Chief Complaint above. 1. What laboratory studies should be obtained to assess her response to this hormonal treatment? 2. In what conditions would estrogen therapy be contraindicated for Martha? Be sure to include EBP and rationale with your responses. APA format and at least 2 reference cited not older than 5 years that is easily retrievable. At least 350 words.

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