The nurse is providing teaching to a patient being started on raloxifene (Evista). The nurse includes information on the potential risk for which problems? (Select all that apply.)
a. Estrogen receptor–positive breast cancer
b. Deep vein thrombosis (DVT)
c. Hip fractures
d. Pulmonary embolus
e. Cardiovascular disease
B, D
Raloxifene may increase the risk of DVT and pulmonary embolus.
Raloxifene does not increase the risk of estrogen receptor–positive breast cancer. It actually blocks the effects of estrogen in the breast tissue and thus has a protective effect.
Raloxifene does not increase the risk of hip fractures.
According to preliminary research data, raloxifene reduced the risk of cardiovascular events by 40% in women at high risk for such events.
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Endoscopy of a 60-year-old woman has revealed the presence of an esophageal peptic ulcer. The nurse who is providing this woman's care is assessing for risk factors that may have contributed to the development of this disease
What question most directly addresses these risk factors? A) "Have you ever been diagnosed with reflux?" B) "Do you consider yourself to have a healthy diet?" C) "Have you been prone to infections over the past few years?" D) "Do you ever find it difficult to swallow certain foods?"
In performing a neurologic evaluation of a client who had lumbar surgery 36 hours ago, it is important that the nurse assess
a. ability to move shoulders. b. leg movement. c. level of consciousness. d. reflex response.
A group of patients with type 1 or 2 diabetes mellitus are planning to participate in an athletic triathlon. On which potential complication from this event should the nurse focus when teaching these patients?
A. Diabetic ketoacidosis B. Impaired glucose tolerance C. Hyperosmolar hyperglycemic state D. Hypoglycemia
A dash of quinine is sometimes added to street "heroin" in order to
A. simulate the bitter taste of real heroin B. make the heroin more injectable C. strengthen the effect of the heroin D. weaken the effect of the heroin