A primary care NP sees a 60-year-old woman for a physical examination. The woman tells the NP she is taking tamoxifen for treatment of breast cancer. To monitor her response to this medication, the NP should order:
a. a chest radiograph.
b. bone mineral density testing.
c. serum bilirubin and creatinine.
d. liver enzymes and a complete blood count (CBC).
D
Patients taking antiestrogens, such as tamoxifen, should have periodic monitoring of liver enzymes and a CBC. A chest radiograph is not indicated. Bilirubin, creatinine, and bone mineral density testing are part of routine testing for patients taking aromatase inhibitors.
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When talking with the family of a critical care patient, the nurse needs to
A) be gentle and indirect. B) have a futuristic approach. C) show interest and empathy. D) be distant and professional.
A father of a 5-year-old demeans and curses his child for disobedience. In turn, when upset, the child uses swear words at kindergarten
A school nurse recognizes this behavior as unsuccessful completion of which stage of development, according to Peplau? 1. Learning to count on others2. Learning to delay satisfaction3. Identifying oneself4. Developing skills in participation
Which nursing intervention would be most important initially when evaluating the physiological health status of an older adult being admitted to an assisted living center?
a. Obtain a complete medication profile, including over-the-counter medications b. Ask the patient, "How do you think your physical health has been overall?" c. Observe the patient for indications of the degree of physical autonomy d. Ask the patient's adult child, "Does your parent have any health problems?"
A client who has a history of severe arteriosclerosis requires a repair of a laceration. Which property contained in a local anesthetic should the nurse recognize is safe to administer to the client?
A. Epinephrine B. Sodium bicarbonate C. Benzocaine D. Proparacaine (Alcaine)