A 43-year-old patient with a strong family history of breast cancer considers taking tamoxifen (Nolvadex) for cancer prevention. Which assessment finding is a possible contraindication?
a. History of deep vein thrombosis (DVT)
b. History of osteoporosis
c. Hyperlipidemia
d. Prior hysterectomy
ANS: A
The patient's age and DVT history place her at risk for thrombosis. Tamoxifen would not be indicated for this patient. A prior hysterectomy, osteoporosis, and hyperlipidemia are not contraindications to tamoxifen.
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The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet. What is the most appropriate nursing action?
a. Report this sign immediately. b. Place a warm towel over the extremities. c. Gently sponge with cool water. d. Medicate for pain.
A nurse is visiting an 84-year-old woman living at home and recovering from hip surgery
The woman seems confused and has poor skin turgor, and she states that "she stops drinking water early in the day because it is too difficult to get up during the night to go to the bathroom." The nurse explains to the woman that: A) She will need to have her medications adjusted and be readmitted to the hospital for a complete workup. B) Limiting fluids can create imbalances in the body that can result in confusion; maybe we need to adjust the timing of your fluids. C) It is normal to be a little confused following surgery and it safe not to urinate at night. D) Confusion following surgery is common in the elderly due to loss of sleep.
When teaching seniors at a community recreation center, which information will the nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home. b. Most falls happen outside the home. c. Buy shoes that provide good support and are comfortable to wear. d. Range-of-motion exercises should be taught by a physical therapist.
The nurse is working with parents who have just experienced the birth of their first child at 34 weeks
Which statements by the parents indicate that additional teaching is needed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Our baby will be in an incubator to keep him warm." 2. "Breathing might be harder for our baby because he is early." 3. "The growth of our baby will be faster than if he were term." 4. "Tube feedings will be required because his stomach is small." 5. "Because he came early, he will not produce urine for 2 days."