A patient who is at risk for osteoporosis will begin taking the selective estrogen receptor modulator raloxifene (Evista). Which statement will the nurse include when teaching this patient about the medication?

a. Raloxifene reduces the risk of thromboembolism.
b. The drug is associated with an increased risk of breast cancer.
c. Use of this drug increases the risk of endometrial carcinoma.
d. Vasomotor symptoms are a common side effect of this drug.


ANS: D
Raloxifene can induce hot flashes in patients taking the drug. It increases the risk for thromboembolism. It protects against breast cancer and does not pose a risk of uterine cancer.

Nursing

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The nurse admits a client to the surgical center who is to have surgery in two hours. After obtaining data for the admission paperwork, the client is assisted into a hospital gown and asked:

1. If he has any second thoughts about the procedure. 2. If he needs to use the restroom. 3. If he has any allergies. 4. Who has accompanied him to the center.

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A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders

Which characteristic of a successful adult is this client lacking? a. Acceptance of self b. Finding a balance between giving and taking c. Making sound decisions d. Learning from past decisions

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A nursing student asks a faculty member how to improve critical thinking. Which response by the faculty is best?

a. "Don't worry too much; it will come with time and experience." b. "Pay close attention to how you solve problems; assess your own style of thinking." c. "Spend time shadowing an experienced nurse to see how it is done." d. "Use ethical standards to guide how you approach patient situations."

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Assessment for risk to attempt suicide includes assessing for evidence of psychiatric illness, degree of impulse control, and:

a. religious baptismal denomination b. highest grade completed in formal education c. frequency of interfaith dating and marriage d. philosophical beliefs related to ending one's own life

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