A 34-year-old patient has come to the office for follow-up after a left-sided mastectomy for breast cancer. The prescriber tells her that she will be started on tamoxifen (Nolvadex) to prevent the recurrence of breast cancer
The nurse provides patient education and answers questions about the drug treatment. Which statement made by the patient best demonstrates the need for further teaching? a. "I may experience hot flashes."
b. "I will have an increased risk of osteoporosis."
c. "This medication may reduce the fat in my blood (serum lipids)."
d. "This medication may increase my risk of endometrial cancer."
B
Tamoxifen protects against osteoporosis; this statement indicates a need for further teaching.
Tamoxifen produces hot flashes; no further teaching is necessary.
Tamoxifen has a favorable effect on serum lipids; no further teaching is necessary.
Tamoxifen increases the risk of endometrial cancer and thromboembolism; no further teaching is necessary.
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The nurse is aware that which muscle group is both striated and involuntary?
a. Skeletal b. Glial c. Cardiac d. Visceral
Allison is an 18-year-old college student with type 1 diabetes. Allison's pre-meal BG at 11:30 a.m. is 130. She eats an apple and has a sugar-free soft drink. At 1 p.m. before swimming her BG is 80. What should she do?
1. Proceed with the swimming class. 2. Recheck her BG immediately. 3. Eat a granola bar or other snack with CHO. 4. Take an additional dose of insulin.
Sometimes persons try to distinguish between community health nursing and public health nursing. The only clear distinction is that the community health nurse
A. Gives care in community settings regardless of personal education, whereas public health nurses have specific educational preparation. B. Is a title that has historically been used, whereas public health nursing is the new "in" title for the role. C. Is employed to give care to families and groups, whereas the public health nurse works in public health departments. D. Is the broader term, which includes public health nursing, school nursing, home health nursing, etc.
You are the nurse on a medical unit taking care of a 50-year-old man, A.A., who was admitted 18 hours
ago with peptic ulcer disease secondary to suspected chronic alcoholism. You enter A.A.'s room and find him having a generalized convulsive (tonic-clonic) seizure. What is your immediate concern for A.A.?