A nurse is describing the advantages and disadvantages associated with tamoxifen therapy as a means of breast cancer prevention. The nurse would identify that the drug has a beneficial effect on which of the following?
A) Bone mineral density
B) High density lipoprotein levels
C) Risk for endometrial cancer
D) Cataract formation
A
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Besides reducing the risk of breast cancer, tamoxifen preserves bone mineral density, thus preventing osteoporosis. It also lowers the low-density lipoprotein cholesterol levels, although it is still unknown if it decreases the incidence of myocardial infarction in women. Tamoxifen can have detrimental effects. It increases the incidences of endometrial cancer, deep vein thrombosis, pulmonary embolism, and cataracts.
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Which nursing theorists promoted the interpersonal theory between the nurse and the patient?
A. Hildegard Peplau B. Hattie Bessent C. Mary Mahoney D. Linda Richards
A pregnant client at 35 weeks' gestation makes this statement to the nurse: "My baby has been very active up until yesterday when I hardly remember him moving." The nurse should
a. bring the information to the attention of the physician or certified nurse midwife b. listen to the fetal heart tones and reassure the client c. send the client home with instructions to monitor fetal movement d. tell the client that babies often quit movement close to term
A newly diagnosed type 1, well-controlled, insulin-dependent diabetic client at 20 weeks' gestation asks the nurse how her diabetes will affect her baby. The best explanation would include:
1. "Your baby might be smaller than average at birth." 2. "Your baby will probably be larger than average at birth." 3. "As long as you control your blood sugar, your baby will not be affected at all." 4. "There are no effects until about 2 hours after birth, when your baby might have low blood sugar."
An adolescent has systemic lupus erythematosus (SLE). An action by the adolescent that indicates acceptance of body changes with SLE would be that the teen:
1. Refuses to attend school. 2. Doesn't want to attend any social functions. 3. Discusses the body changes with a peer. 4. Discusses the body changes with health care personnel only.