Is she a candidate for tamoxifen (Nolvadex) therapy? Explain your rationale
What will be an ideal response?
Because her tumor is estrogen receptor positive, meaning the tumor grows in the presence of
estrogen, she is a candidate for tamoxifen therapy. Tamoxifen blocks estrogen receptors on breast
cancer cells, preventing receptor activation by estradiol, the principal endogenous estrogen. Hence,
in the absence of estradiol's influence, the rate of tumor cell proliferation decreases and tumors
decrease in size.
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The nurse is caring for a patient with infertility related to hyperprolactinemia. What drug would the nurse recognize was ordered to treat this problem?
A) Bromocriptine mesylate B) Somatropin C) Leuprolide D) Desmopressin
A nurse conducts a culturally specific assessment on an Asian native. Which of the following elements of cultural competence is this nurse demonstrating?
a. Awareness c. Desire b. Knowledge d. Skill
A ventilator's low exhaled volume (low-pressure) alarm sounds, and the nurse rushes to the client's room and quickly assesses the client. The client appears to be having respiratory difficulty. The nurse should first:
A. Call a code B. Suction the client C. Call the anesthesiologist D. Manually ventilate the client, using a resuscitation bag
Metabolic acidosis in diabetics occurs as a result of:
A. the breakdown of fats. B. the breakdown of carbohydrates. C. the breakdown of proteins. D. the breakdown of nucleic acids.