A client has been prescribed a regimen with the DNA methyltransferase inhibitor azacitidine (Vidaza). How should the nurse best explain the action of this drug?
1. "This drug will kill cancer cells."
2. "This drug is designed to boost your immunity, thereby helping you to fight off the cancer cells more effectively."
3. "This drug will help to restore your body's natural ability to suppress cancer cells."
4. "This drug acts to tighten histones."
3
Rationale 1: This is not the action of this drug.
Rationale 2: This statement is not the best explanation of the action of this drug.
Rationale 3: DNA methylation inhibitors have demonstrated the ability to inhibit hypermethylation, restore suppressor gene expression, and exert antitumor effects.
Rationale 4: The nurse should explain treatment in terms easily understandable by the client.
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The community health nurse is identifying factors that would influence behavior change. Which of the following would the nurse identify as enabling factors?
A) Attitudes of the target population B) Knowledge of the family of the target population C) Availability of resources D) Values of the authority figures
When examining a patient's eyes for complaints of visual changes, which of the following indicates hyperviscosity from polycythemia or retinal infarcts?
A) Sickle cell anemia B) Retinal hamartoma C) Stage one hypertension D) Iron deficiency anemia
What is the priority nursing diagnosis for a client newly diagnosed with autoimmune thrombocytopenic purpura?
A. Impaired Gas Exchange B. Impaired Skin Integrity C. Risk for Injury D. Acute Pain
A patient is to continue taking sustained-released benzodiazepines at home. A nurse has provided patient education about the medication. Which statement made by the patient demonstrates the need for further teaching?
a. "I can take my medicine with food to reduce stomach upset." b. "I should take two pills if I miss a dose." c. "I should not crush or chew my pills." d. "I should try not to drive if I am sleepy during the day."