The nurse is assigned to care for a client with metastatic breast cancer who is taking tamoxifen citrate (Soltamox). The nurse plans to monitor for which of the following changes in laboratory values for this client? Select all that apply
1. Increased lipase level
2. Increased serum potassium level
3. Increasing blood glucose level
4. Increase in serum calcium level
5. Decreased low-density lipoprotein levels
4, 5
Rationale: Tamoxifen citrate is an antiestrogen and antineoplastic medication. It may increase the calcium level and lower the low-density lipoprotein levels. Prior to the initiation of therapy, the complete blood count (CBC), platelet count, and serum calcium levels should be determined. These blood levels should continue to be monitored periodically during therapy. The nurse should monitor for signs of hypercalcemia while the client is taking this medication. These signs include increased urine volume, excessive thirst, nausea, vomiting, constipation, decreased muscle tone, and deep bone or flank pain. "Increased lipase level," "increased serum potassium level," and "increasing blood glucose level" are not associated with this medication.
You might also like to view...
The LPN/LVN encourages the client to ambulate twice a day. This is an example of which stage of the nursing process?
1. Assessment 2. Planning 3. Implementation 4. Evaluating 5.
When evaluating a community health plan, the nurse understands that this process is important for:
A) Determining the nurse's effectiveness B) Eliminating unnecessary phases in the nursing process C) Measuring the effectiveness of goal attainment D) Producing additional goals and objectives for inclusion
Which of the following is characteristic of qualitative research? Select all that apply
A) It is consistent with the constructivist paradigm of inquiry. B) It generates causal hypotheses. C) It tests hypotheses. D) It involves an iterative process of interpretation and analysis.
An older adult client is visiting the physician's office for a check-up. The client asks the nurse how often the influenza and pneumonia vaccines should be obtained. The nurse responds to the client that these vaccinations should be done:
1. Every 6 months 2. Annually 3. Every 5 years 4. Every 7 years