The nurse will teach a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin) that
a. hot flashes may occur with the medication.
b. serum electrolyte levels will be drawn monthly.
c. the patient will need frequent eye examinations.
d. the patient should call if she notices ankle swelling.
ANS: D
Trastuzumab can lead to ventricular dysfunction, so the patient is taught to self-monitor for symptoms of heart failure. There is no need to monitor serum electrolyte levels. Hot flashes or changes in visual acuity may occur with tamoxifen, but not with trastuzumab.
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A patient is lying on her left side. Her upper leg is sharply flexed. Her lower arm is behind her. This position is:
a. The supine position b. Fowler's position c. Sims' position d. The prone position
You are caring for Jacob, a 44-year-old man with a history of mental illness who has been imprisoned after severely injuring another driver in a "road rage" incident
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A client entering the third trimester of labor is concerned about having enough muscle strength and stamina to give birth. Which exercises should the nurse review with the client to facilitate the birthing process? Select all that apply
1. Yoga 2. Pelvic tilt 3. Pelvic rock 4. Kegel exercises 5. McRoberts exercises
When teaching injury prevention during the school-age years, the nurse should include:
a. Teaching the need to fear strangers. b. Teaching basic rules of water safety. c. Avoiding letting children cook in microwave ovens. d. Cautioning children against engaging in competitive sports.