A nurse is caring for a woman with breast cancer who is receiving tamoxifen. A review of this patient's chart reveals a deficiency of the CYP2D6 gene. The nurse will contact the provider to suggest:
a. a different medication.
b. an increased dose.
c. a reduced dose.
d. serum drug levels.
A
Women with a deficiency of the CYP2D6 gene lack the ability to convert tamoxifen to its active form, endoxifen, and will not benefit from this drug. Another drug should be used to treat this patient's breast cancer. Increasing the dose, reducing the dose, or monitoring serum drug levels will not make this drug more effective in these women.
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If more nursing unit management responsibilities were shifted to non-nursing personnel, nursing care for individual clients would be increased by approximately:
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A client's dressing orders include calcium alginate (Kalistat). The nurse instructs the client that this application is appropriate for a(n)
a. black wound. b. draining wound. c. infected wound. d. red wound.
Normal heart sounds are best heard:
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