The 70-year-old woman who is considering coming off of hormone therapy (HT) for the reduction of postmenopausal discomfort asks the nurse what advantage is offered by tamoxifen, also called a "designer estrogen."

What would be the best response by the nurse?
a. Tamoxifen provides estrogen to some tissues while acting as an antiestrogen to others.
b. Tamoxifen has no side effects.
c. Tamoxifen needs to be taken only once a week.
d. Tamoxifen improves the skin turgor and complexion.


ANS: A
"Designer estrogens" selectively act as an estrogen on some tissues and an antiestrogen on others. There are side effects, and the drug is usually taken twice a day.

Nursing

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A child who weighs 28 lb needs fluid resuscitation

The nurse plans to administer ____________________.

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Which developmental stage is best identified with introspection?

1. Middle age 2. Middle childhood 3. Early adulthood 4. Older age

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A patient with chronic hyperfunction of the adrenal cortex is being assessed. The nurse would attribute which finding to the patient's chronic condition?

1. General feeling of malaise 2. Recent weight loss 3. Hypotension 4. Yellowing of the cornea

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What is considered the BEST treatment for a port-wine angioma?

a. surgical debridement c. radical surgical exci-sion b. cosmetics d. skin grafting over the lesion

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