The nurse is caring for a patient on the oncology unit diagnosed with breast cancer. The nurse is comparing the side effects of anastrozole (Arimidex) and tamoxifen (Nolvadex). What is the advantage of anastrozole over tamoxifen?
a. It causes fewer hot flushes.
b. It reduces nausea.
c. It causes less irritability.
d. It promotes endometrial hyperplasia.
ANS: A
Anastrozole causes fewer hot flushes than tamoxifen.
Anastrozole increases nausea and irritability.
Anastrozole does not promote endometrial hyperplasia.
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A client asks her nurse, "Is it okay for me to take a tub bath during the heavy part of my menstrual cycle?" The correct response by the nurse is:
1. "Tub baths are contraindicated during menstruation." 2. "You should shower and douche daily instead." 3. "Either a bath or a shower is fine at that time." 4. "You should limit bathing and use a feminine deodorant spray during menstruation."
A laboring woman complains of sudden, sharp, severe pain during a contraction, and when the contraction ceases, the pain is gone. What assessment by the nurse takes priority?
A. Abdominal palpation B. Fetal heart tracing C. Maternal vital signs D. Intrauterine pressure
The nurse who is beginning oral feedings on a client who is returning to consciousness will
a. begin feedings with water. b. place about 1 teaspoon of liquid in the front of the mouth. c. position the client upright. d. stroke the posterior neck to promote swallowing.
The nurse is admitting a patient whose present health condition has led to a sharp decline in her performance of activities of daily living
After the admission assessment, the nurse collaborates with the physician and arranges for an occupational therapist to assess the patient's needs. The nurse suggests this consult for which primary purpose? A) To reduce the work load of nursing staff B) To complete the treatment plan in a timely manner C) To expand the nurse's scope of practice D) To enhance the client's health outcomes