A nurse is caring for a patient after a modified radical mastectomy for a breast tumor that has been determined to be positive for estrogen receptors (ER positive) and has been placed on a protocol of tamoxifen
The patient then asks the nurse, "Do you think I should take this medica-tion?" Which statement is the most appropriate? a. "Tamoxifen will probably not be effective because your tumor was ER positive."
b. "If I were you, I would do what the physician recommends."
c. "I think that you should take tamoxifen, because the tumor was ER positive."
d. "Tamoxifen is an option to consider, be-cause your tumor was ER positive."
D
For tumors that are ER positive, tamoxifen citrate may be prescribed because such drugs interfere with estrogen production. ER-positive tumors need estrogen to grow.
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The nurse is obtaining information about a client's past medical history. Which source would provide the nurse with this data?
1. Medication list. 2. Immunization records. 3. Average amount of hours of sleep each night. 4. Marital status.
A factory abruptly closes; workers receive no warning and no explanation. An office worker tries to take it in stride and begins the job search, updating his resume, submitting applications, and offering support to his peers
Which assessment question would be most important to ask at this time? a. "Tell me how has this affected you, how things seem to you.". b. "What do you think you will do if your plan does not work?" c. "Tell me about some other difficult times you've been through.". d. "Tell me who cares about you, supports you, who you can count on.".
Which of these represents the best temperature for a patient's room?
A) 55 degrees F B) 68 degrees F C) 72 degrees F D) 85 degrees F
The nurse learns that a patient continues to work full-time despite having a physical disability. Which characteristic of the health belief model is this patient exhibiting?
1. Resiliency 2. Vulnerability 3. Barriers to action 4. Benefits to action